ISSN: 1859 - 2872
Laparoscopic transhiatal esophagectomy: 10 years of follow-up experience
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Abstract
Objective: To evaluate preliminary results of laparoscopic transhiatal esophagectomy. Subject and method: Prospectively observation study based on 47 consecutive cases of laparoscopic transhiatal esophagectomy for cancer performed from 2/2012 to 8/2015 at Vietduc Hospital. Result: Median operative time 196 minutes, intraoperative blood loss 200ml, mean of stay times at ICU 18 hours, first flatus within 3 days, thoracic drainage within 9 days. Location of tumor: Lower esophageal cancer 45 cases, esophago-gastric junction cancer type I: 1, esophago-gastric junction cancer type II: 1. Number of lymphonodes: 14. Respiratory complication 2, mortality: 0, leakage anastomosis: 3, chylothorax: 0, hospital stay time: 11 days. The average survival time was 36 ± 6 months, the survival rate after 3 years without the disease was 51%, the survival rate after 5 years was 20%. Conclusion: Laparoscopic transhiatal esophagectomy reduced respiratory complications, reduced length of stay in intensive care, blood loss. Operative time lasted is not too long. This is good procedure to change transhiatal esophagectomy. However, the postoperative survival time is lower than that of the right thoracoscopy method
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References
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