Đặc điểm lâm sàng và cận lâm sàng nhóm bệnh nhân được thuật nội soi ngực bụng điều trị ung thư thực quản tại Bệnh viện Ung bướu Hà Nội

Abstract

To describe the clinical and paraclinical characteristics 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 with esophageal cancer who underwent thoraco-laparoscopic esophagectomy at the Department of General Surgery, Hanoi Oncology Hospital, from January 2023 to December 2025. Result: The mean age was 56.9 ± 6.8 years, with the 60 - 69 age group accounting for the highest proportion (46.2%). The majority of patients were male (97.4%). Dysphagia was the most common presenting symptom (56.4%). Most patients had a normal body mass index (BMI) (89.7%). The proportions of patients with a history of alcohol consumption and smoking were high, at 79.5% and 82.0%, respectively. Most tumors were located in the lower third of the esophagus (74.4%). Squamous cell carcinoma (SCC) was the predominant histological type (97.4%). The proportion of patients with early-stage disease who underwent upfront surgery was 30.8%. Neoadjuvant concurrent chemoradiotherapy was administered in 66.7% of patients. Conclusion: Patients with esophageal cancer undergoing surgery at Hanoi Oncology Hospital were predominantly middle-aged men, commonly with a history of smoking and alcohol consumption, with dysphagia being the most frequent presenting symptom; tumors were mainly located in the lower third of the esophagus, the majority were histologically squamous cell carcinoma, and most patients were diagnosed at a locally advanced stage.