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The Rationale For Performing Hybrid Mediastinal Lymph Node Dissection By Transhiatal Access For Thoracic Esophageal Cancer
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| Author:
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DJAKHANGIR SABIROV, BAKHTIYOR MADIYOROV, ABDUGAFFAR RASULOV, NIZOM ERMATOV, ORZIGUL YUSUPOVA
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| Abstract:
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Anatomical features of the structure of the lymphatic system of the esophagus contribute to early lymphogenous metastasis of the EC. In addition, the frequency of metastasis depends on the depth of the tumor invasion of the esophageal wall. Purpose of the research. Taking into account the analysis of the literature, the purpose of our study was to study the possibility of performing mediastinal lymph node dissection through the transhiatal approach, using a video-assisted technique. Materials and methods. In this scientific work, the results of treatment of 127 patients (Table 1) with cancer of the thoracic esophagus were studied, who, for the period from 2001 to 2019 in the department of thoracic oncosurgery. The main group consisted of 74 patients, hybrid video-assisted transhiatal esophagectomy was performed in the period from 2006 to 2016, and the control group consisted of 53 patients who were operated on in the period from 2001 to 2006 with the use of traditional techniques for transchiatal esophagectomy for breast cancer esophagus. Results. A comparative assessment of the features of surgery was carried out according to such indicators as the duration of surgery, total blood loss, the severity of pain syndrome (according to a visual analogue scale) after surgery, the duration of the standing of the drains, the presence or absence of early surgical complications, the time spent in the intensive care unit. The aspects of the study were indicators of peripheral blood. In the long term: the time of recurrence after surgery and the percentage of survival, depending on the surgical approach.
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| Keyword:
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transhiatal esophagectomy, video-assisted mobilization, lymph node dissection, esophageal cancer.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.291
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| Download:
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