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  • Công bố khoa học và công nghệ Việt Nam

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Y học lâm sàng

Đỗ Trường Sơn, Trần Thị Hải Yến(1)

Phẫu thuật nội soi ngực phải với tư thế bệnh nhân nằm sấp trong điều trị ung thư thực quản

Right thoracoscopic esophagectomy in prone position for the treatment of esophageal cancer

Y học Việt Nam

2014

1

124-129

1859-1868

Objective: To evaluate th.e surgical results of right thoracoscopic esophagectomy in prone position for the treatment of esophageal, cardnoma. Methods: A retro-observational study based on prospectively collected data of 213 patients with squamous cells carcinoma of esophagus from September 2004 to December 2013. Follow-up data collection performed by direct patients exam, post-letters or by telephone. Results: A total of 213 patientsinchuding 206 males (96,7 percent) and 7 females (3,3 percent). Median age was 53 years of old (34-75). Tumor at midle third of esophagus encounterd in 90,1 percent, upper third 9,9 percent; mean of tumor size was 6,2 + or - 1,91cm (2-16); disease staging was predominant with stage III (53,5 percent) and most of cases were identified as grade 2 and 3 by grading. The conversion to open surgery was 0,5 percent, intraoperative adverse events recorded as 9,4 percent; postoperative complication 31,5 percent, pulmonary complications 20,2 percent and mortality rate 1,4 percent; anastomotic stenosis was 7,1 percent; Rate of patients successfully followed up encountered in 85,2 percent. Oversurvival rate at one-three-five year was identified as 98 percent, 57 percent and 14,7 percent respectively. Over-survival time was closely related to disease staging (p=0.000).

TTKHCNQG, CVv 46