ISSN: 1859 - 2872
Early results of thoracoscopic and laparoscopic surgery for esophageal cancer treatment at Hanoi Oncology Hospital
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Abstract
To evaluate the early postoperative outcomes in patients undergoing thoraco-laparoscopic esophagectomy for esophageal cancer at Hanoi Oncology Hospital. Subject and method: A retrospective descriptive study was conducted on 39 patients from January 2023 to December 2025. Result: The mean operative time was 283.8 ± 38.4 minutes, and the mean number of retrieved lymph nodes was 15.9 ± 15.3. The rate of pathological complete response (pCR) was 48.1%, and R0 resection was achieved in 100% of cases. The mean duration of chest tube drainage was 5.4 ± 2.4 days, and the mean postoperative hospital stay was 10.9 ± 3.6 days. Reconstruction was performed using a gastric conduit in 89.7% of patients and colon interposition in 10.3%. Intraoperative complications included pleural injury in 15.4% and thoracic duct injury in 5.1%. Postoperative complications consisted of respiratory complications (23.1%), anastomotic leakage (12.8%), recurrent laryngeal nerve injury (5.2%), anastomotic stricture (15.4%). Conclusion: Thoraco-laparoscopic esophagectomy at Hanoi Oncology Hospital is a safe and feasible approach for the treatment of esophageal cancer. Early postoperative outcomes demonstrated acceptable complication rates, no postoperative mortality, and relatively short durations of chest tube drainage and hospital stay.
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References
2. Ajani JA, D’Amico TA, Bentrem DJ et al (2023) Esophageal and Esophagogastric Junction Cancers, Version 2.2023, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw 21(4): 393-422. doi:10.6004/jnccn.2023.0019
3. Hagen P van, Hulshof MCCM, Lanschot JJB van, et al (2012) Preoperative Chemoradiotherapy for Esophageal or Junctional Cancer. New England Journal of Medicine 366(22): 2074-2084. doi:10.1056/NEJMoa1112088
4. Shapiro J, van Lanschot JJB, Hulshof MCCM et al (2015) Neoadjuvant chemoradiotherapy plus surgery versus surgery alone for oesophageal or junctional cancer (CROSS): Long-term results of a randomised controlled trial. Lancet Oncol 16(9):1090-1098. doi: 10.1016/S1470-2045(15)00040-6
5. Luketich JD, Pennathur A, Awais O et al (2012) Outcomes after minimally invasive esophagectomy: Review of over 1000 patients. Ann Surg 256(1): 95-103. doi:10.1097/SLA.0b013e3182590603
6. Tool Section_Clavien Dindo Scale. Accessed March 21, 2026. https://gynqi.com/wp-content/uploads/2022/02/Clavien-Dindo-Scale-Explained.pdf
7. Rutegård M, Lagergren P, Rouvelas I, Mason R, Lagergren J (2012) Surgical complications and long-term survival after esophagectomy for cancer in a nationwide Swedish cohort study. Eur J Surg Oncol 38(7): 555-561. doi: 10.1016/j.ejso.2012.02.177
8. Hùng TM, Kiên NT, Kiên TT (2024) Kết quả phẫu thuật nội soi ngực - bụng cắt thực quản điều trị ung thư thực quản tại Bệnh viện Bạch Mai. VMJ. 2024;537(1). doi:10.51298/vmj.v537i1.9064
9. Yến NTH, Cương HM, Hải BTH, Doanh VT (2024) Đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân ung thư thực quản tại Bệnh viện Trung ương Thái Nguyên. VMJ 541(3). doi: 10.51298/vmj.v541i3.10840
10. Hòa NX, Nghiên cứu ứng dụng phẫu thuật nội soi cắt thực quản và nạo vét hạch rộng hai vùng (ngực-bụng) trong điều trị ung thư thực quản.
11. Javidfar J, Speicher PJ, Hartwig MG, D’Amico TA, Berry MF (2016) Impact of Positive Margins on Survival in Patients Undergoing Esophagogastrectomy for Esophageal Cancer. Ann Thorac Surg 101(3): 1060-1067. doi:10.1016/j.athoracsur.2015.09.005
12. Duy NĐ, Bình PV, Mạnh TĐ, et al (2024) Kết quả sớm phẫu thuật cắt thực quản xâm lấn tối thiểu trên nhóm bệnh nhân ung thư biểu mô vảy thực quản hóa xạ trị tiền phẫu tại Bệnh viện K. VMJ 535(1B). doi:10.51298/vmj.v535i1B.8374
13. Low DE, Kuppusamy MK, Alderson D et al (2019) Benchmarking Complications Associated with Esophagectomy. Ann Surg 269(2): 291-298. doi:10.1097/SLA.0000000000002611
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