Minimally Invasive Thoracoscopic Esophagectomy In Esophageal Cancer: Analysis of 20 Cases
reza bagheri, Dr1, Seyed Ziaollah Haghi, dr2, Nazanin Hazrati2.
1Cardio- Thoracic Surgery & Transplant Research Center, Emam Reza hospital, Faculty of medicine, Ma, mashhad, Iran, Islamic Republic of, 2Cardio- Thoracic Surgery & Transplant Research Center, Emam Reza hospital, Faculty of medicine,, mashhad, Iran, Islamic Republic of.
Esophageal cancer is a common cancer of the digestive system that Our country is one of the common areas. The foundation of surgical treatment of esophageal cancer is surgery.Due to the development of minimal invasive techniques In our study we found that the results of this technique in patients with esophageal cancer surgery.
Material and Method
20 patients with Middle and lower thirds of esophageal cancer who had good general conditions and operated with this technique, enrolled in this study. Patients were evaluated based on the following criteria :
Age, sex, tumor location- pathology- Intraoperative complications leading to minimal invasive esophagectomy technique to open surgery–early postoperative complications after surgery.
20 patients enrolled the study, 15 patients in middle part of esophagus, and 5 patients in lower part of esophagus. There were M/F = 15/5 with an average age of 58 years. In pathological examination 18 patients had SCC and 2 patients had AC . 5 patients had a history of neo-adjuvant therapy. Surgery was performed without complications in 18 patients with proper technique. In two patients with severe pleural adhesion VATS could not be completed and patients were operated with open surgery. Early postoperative complications were seen in 2 patients (Atelectasis and inferior MI ) that both patients recovered with conservative treatment . we had no mortality.
We recommended this technique in patients with esophageal cancer in centers that have experience in this technique because of the proper results and low-grade invasion .
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