ISSN: 1859 - 2872
Laparoscopic substernal tunneling in video-assisted transthoracic esophagectomy in treating esophageal cancer
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Abstract
Objective: To assess the results of laparoscopic substernal tunneling in video-assisted transthoracic esophagectomy. Subject and method: From March 2019 to June 2021, 51 patients underwent video-assisted transthoracic esophagectomy with laparoscopic retrosternal tunneling. The clinical and subclinical characteristics, intraoperative results, postoperative results. Were recorded and analyzed using SPSS 16.0 software. Result: 100% of patients were male. The mean age was 56.73 ± 8.3. The lesion at middle third accounted for the majority. 70.6% of patients received preoperative chemotradiationtherapy. The mean surgery time was 315.47 minutes. 84.3% of patients made anastomosis using circular stapler. Single-lumen endotracheal tube was used, accounting for 72.5% patients. Pathological results after surgery: 23.5% was T0, 23.5% was T1, 31.4% was T2, 7.8% was T3, 11.8% was T4a, 2.0% was T4b. The mean number of havested lymph nodes was 22.08. The mean lymph node metastasis was 0.63. The mean time of laparoscopic tunneling was 17.59 minutes. Pleural tear and pericardial tear were both 2.0%. 74.7% of patients were not in the ICU. The mean hospital stay was 14.12 ± 5.68 days. Anastomosis leakage accounted for 15.7%. Chylothorax leakage accounted for 5.9%. Conclusion: Laparoscopic retrosternal tunneling is a feasible and safe method in video-asissted transthoracic esophagectomy.
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References
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