ISSN: 1859 - 2872
The early results of transthoracic video-assisted esophagectomy with retrosternal gastric tube in the treatment of esophageal cancer
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Abstract
Objective: To evaluate the early results of transthoracic video-assisted esophagectomy with retrosternal gastric tube in the treatment of esophageal cancer at 108 Military Central Hospital. Subject and method: A retrospective and prospective study, including 77 patients with esophageal cancer at 1/3 middle and 1/3 lower who underwent transthoracic video-assisted esophagectomy with a retrosternal gastric tube from November 2018 to November 2022. The parameters of early results of surgery were recorded and analyzed using SPSS 17.0 software. Result: Mean age was 57.49 ± 7.89 years old. 100% of patients were male. 21.9% of patients had comorbidities. Duration of treatment: 63.6% of patients were sent straight to our department, the intubation was removed right at the operating room, and the average hospital stay was 13.83 days. The mean first flatus time was 3.53 days. Pathological results: 100% of patients were squamous cell carcinoma, and 17 patients had no detected tumors and lymph nodes after adjuvant treatment. The lymph node metastasis rate was 3.34%. The rate of respiratory complications was 66.2%, of which the majority was pleural effusion (63.6%). Most respiratory complications were mild (82.4%). The anastomosis leakage rate was 16.9%. Placing an anastomosis below the sternal notch had a lower leakage rate than placing an anastomosis above the sternal notch (0% vs 22%, p=0.029). The chylous leakage rate was 3.9%. Leak at jejunostomy tube was 3.9%, postoperative intestinal obstruction was 2.6%, gastric tube dilatation above the sternum was 1.3%, and intrathoracic herniation of gastric conduit was 2.6%. There were no deaths within 30 days after surgery. Conclusion: Transthoracic video-assisted esophagectomy with a retrosternal gastric tube has good early results: The rate of early complications is low, and there is no mortality within 30 days after surgery.
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References
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