tailieunhanh - Evaluation of the results of thoracoscopic esophagectomy for esophageal cancer

Objectives: To evaluate the results of esophagectomy and operative technique of minimally invasive esophagectomy for esophageal cancer at 103 Military Hospital. Subjects and methods: Retrospective, descriptive study combined a prospective study of 62 patients with esophageal cancer from 1 - 2010 to 9 - 2018. | Journal of military pharmaco-medicine no1-2019 EVALUATION OF THE RESULTS OF THORACOSCOPIC ESOPHAGECTOMY FOR ESOPHAGEAL CANCER Nguyen Van Tiep1; Dang Viet Dung 1; Le Thanh Son1 Nguyen Van Xuyen1; Ho Chi Thanh1 SUMMARY Objectives: To evaluate the results of esophagectomy and operative technique of minimally invasive esophagectomy for esophageal cancer at 103 Military Hospital. Subjects and methods: Retrospective, descriptive study combined a prospective study of 62 patients with esophageal cancer from 1 - 2010 to 9 - 2018. Results: Mean age was ± (32 - 74), male/female ratio was . Mean operation time was ± minutes, thoracic step time was ± minutes, mean blood loss volume during the entire operation was ± mL. Laparoscopic surgery accounted for . Surgical complications: 3 cases () with left visceral pleura rupture, 1 case () of thoracic duct injury. Mean ventilation time was ± hours, thoracic drainage time was ± days, first flatus time was ± days. Postoperative complications: Operative mortality was , respiratory complication was , neck anastomosis leakage was , raucous was , tracheal leakage was . Mean postoperative hospitalization time was ± days (8 - 46 days). Conclusion: Laparoscopic surgery for esophageal cancer is a difficult surgery, early postoperative results were encouraging and should continue monitoring to evaluate the long-term outcomes. * Keywords: Esophageal cancer; Thoracoscopic esophagectomy. INTRODUCTION Esophageal (EsC) surgery is a severe major operation, both in techniques and anesthesia. EsC radical surgeons used combined incisions. The reasons may be long operating time (often lasts 5 - 8 hours), prolonged atelectasis during operation, muscle chest injuries. The other important reasons are that almost EsC patients are elderly, accompanied by other diseases, cachexia due to no eating for a long time. There is about 5% of