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EARLY OUTCOMES OF THORACO – LAPAROSCOPIC ESOPHAGECTOMY FOR ESOPHAGEAL CANCER AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL
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Abstract
Background: Minimally invasive esophagectomy (MIE) has proved to be safe with lower morbidity, lower mortality (1.4 – 1.9%), short duration of hospitalization, and similar oncological outcomes. Objective: To evaluate the early outcomes of thoracic-laparoscopic esophagectomy for treating esophageal cancer at the Department of General Surgery of Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: A retrospective and prospective descriptive study on 31 patients undergoing MIE at Can Tho University of Medicine and Pharmacy Hospital from January 2015 to October 2022. Results: 31 esophageal cancer patients were male, the median age was 60.16±9.64 years (37-80 years). All cases were successfully performed, 30 cases with anastomosis in the neck, and 1 case with anastomosis in the thorax. The median duration of surgery was 474.35±86.68 minutes. There was one case of tracheal injury (3.2%), which was viewed and managed at operation. Postoperative morbidity was 64.5%: respiratory complications 54.8%, leakage of anastomosis 9.7%, dysphonia 12.9%, and mortality 3.2%. The median postoperative hospital stay was 18.26±5.1 days. The average number of harvested lymph nodes: is 8.9±3.83 nodes. Postoperative pathological results: squamous cell carcinoma 87.1%, adenocarcinoma 9.7%, and in almost all cases were moderately differentiated, 69%. Conclusion: Laparo-thoracoscopic esophagectomy for the treatment of esophageal cancer was a safe method that has acceptable morbidity and mortality.
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Keywords
Esophageal cancer, esophagectomy, thoraco-laparoscopic
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