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Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study

BACKGROUND: Esophageal cancer is the fourth-most-common cancerous disease of the gastrointestinal tract, with increasing incidence rates. AIM: The present study aimed to assess the outcomes of right thoracoscopic esophagectomy combined with laparotomy for esophageal cancer treatment in Vietnamese pa...

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Autores principales: Duong, Trieu Trieu, An, Ho Huu, Quoc, Le Van, Truong, Nguyen Van, Son, Vu Ngoc, Hien, Nguyen Van, Tuan, Nguyen Phu, Sang, Nguyen Van, Duc, Nguyen Minh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Medical Sciences of Bosnia and Herzegovina 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879347/
https://www.ncbi.nlm.nih.gov/pubmed/33603272
http://dx.doi.org/10.5455/medarh.2020.74.463-469
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author Duong, Trieu Trieu
An, Ho Huu
Quoc, Le Van
Truong, Nguyen Van
Son, Vu Ngoc
Hien, Nguyen Van
Tuan, Nguyen Phu
Sang, Nguyen Van
Duc, Nguyen Minh
author_facet Duong, Trieu Trieu
An, Ho Huu
Quoc, Le Van
Truong, Nguyen Van
Son, Vu Ngoc
Hien, Nguyen Van
Tuan, Nguyen Phu
Sang, Nguyen Van
Duc, Nguyen Minh
author_sort Duong, Trieu Trieu
collection PubMed
description BACKGROUND: Esophageal cancer is the fourth-most-common cancerous disease of the gastrointestinal tract, with increasing incidence rates. AIM: The present study aimed to assess the outcomes of right thoracoscopic esophagectomy combined with laparotomy for esophageal cancer treatment in Vietnamese patients. METHODS: A cross-sectional study of 71 patients was conducted at 108 Military Central Hospital, Hanoi, Vietnam, from January 2010 to December 2017. RESULTS: Right thoracoscopic esophagectomy combined with laparotomy was performed in 71 patients with esophageal cancer. The mean patient age was 55.8 years, and 100% were male. Patients were diagnosed with the following cancer stages: Stage 0: 4.2%; Stage I: 14.1%; Stage II: 59.2%; and Stage III: 22.5%. The lymph node metastasis rate was 33.8%. The overall complication rate was 42.3%, which included a pneumonia rate of 12.3%, a respiratory failure rate of 7.0%, an anastomotic leak rate of 11.3%, and a chylothorax rate of 4.2%. The mean postoperative time was 16.4 days. The mean follow-up time was 21.7 months. The median overall survival was 45.7 months. The 1-year, 2-year, 3-year, and 4-year survival rates were 79.7%, 62.3%, 52.3%, and 43.6%, respectively. CONCLUSIONS: Thoracoscopic esophagectomy combined with laparotomy for esophageal cancer was a safe, effective, and minimally invasive procedure that should play a continued role in cancer treatment.
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spelling pubmed-78793472021-02-17 Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study Duong, Trieu Trieu An, Ho Huu Quoc, Le Van Truong, Nguyen Van Son, Vu Ngoc Hien, Nguyen Van Tuan, Nguyen Phu Sang, Nguyen Van Duc, Nguyen Minh Med Arch Original Paper BACKGROUND: Esophageal cancer is the fourth-most-common cancerous disease of the gastrointestinal tract, with increasing incidence rates. AIM: The present study aimed to assess the outcomes of right thoracoscopic esophagectomy combined with laparotomy for esophageal cancer treatment in Vietnamese patients. METHODS: A cross-sectional study of 71 patients was conducted at 108 Military Central Hospital, Hanoi, Vietnam, from January 2010 to December 2017. RESULTS: Right thoracoscopic esophagectomy combined with laparotomy was performed in 71 patients with esophageal cancer. The mean patient age was 55.8 years, and 100% were male. Patients were diagnosed with the following cancer stages: Stage 0: 4.2%; Stage I: 14.1%; Stage II: 59.2%; and Stage III: 22.5%. The lymph node metastasis rate was 33.8%. The overall complication rate was 42.3%, which included a pneumonia rate of 12.3%, a respiratory failure rate of 7.0%, an anastomotic leak rate of 11.3%, and a chylothorax rate of 4.2%. The mean postoperative time was 16.4 days. The mean follow-up time was 21.7 months. The median overall survival was 45.7 months. The 1-year, 2-year, 3-year, and 4-year survival rates were 79.7%, 62.3%, 52.3%, and 43.6%, respectively. CONCLUSIONS: Thoracoscopic esophagectomy combined with laparotomy for esophageal cancer was a safe, effective, and minimally invasive procedure that should play a continued role in cancer treatment. Academy of Medical Sciences of Bosnia and Herzegovina 2020-12 /pmc/articles/PMC7879347/ /pubmed/33603272 http://dx.doi.org/10.5455/medarh.2020.74.463-469 Text en © 2020 Trieu Trieu Duong, Ho Huu An, Le Van Quoc, Nguyen Van Truong, Vu Ngoc Son, Nguyen Van Hien, Nguyen Phu Tuan, Nguyen Van Sang, Nguyen Minh Duc http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Duong, Trieu Trieu
An, Ho Huu
Quoc, Le Van
Truong, Nguyen Van
Son, Vu Ngoc
Hien, Nguyen Van
Tuan, Nguyen Phu
Sang, Nguyen Van
Duc, Nguyen Minh
Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study
title Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study
title_full Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study
title_fullStr Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study
title_full_unstemmed Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study
title_short Outcomes of Right Thoracoscopic Esophagectomy Combined with Laparotomy: a Preliminary Vietnamese Study
title_sort outcomes of right thoracoscopic esophagectomy combined with laparotomy: a preliminary vietnamese study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879347/
https://www.ncbi.nlm.nih.gov/pubmed/33603272
http://dx.doi.org/10.5455/medarh.2020.74.463-469
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