Özofagus Kanserinde Hibrit Minimal İnvaziv Özofajektomi: 14 olgu, Tek Merkez Deneyimi

Öz

GİRİŞ: Kliniğimizde hibrit minimal invaziv özofajektomi uygulanan hastalarda morbidite, erken postoperatif mortalite oranları ve işlemin güvenliğinin retrospektif olarak değerlendirilmesi. GEREÇ VE YÖNTEM: Kasım 2015 ile Kasım 2022 tarihleri arasında XXX Hastanesi genel cerrahi kliniğinde minimal invaziv özofajektomi tekniği kullanılarak opere edilen özofagus kanserli 14 hastanın kayıtları retrospektif olarak incelendi. BULGULAR: 14 olgunun ortalama yaşı 55 ± 11,96 yıl (32-71) idi. On hasta (%71) erkek ve dört hasta (%29) kadındı. Tümör 12 olguda alt özofagusta, bir olguda orta özofagusta ve bir olguda ise üst özofagusta yerleşmişti. Olguların 13'üne totale yakın özofajektomi - servikal anastomoz uygulandı. Üst özofagus tümörü olan bir hastada total özofajektomi, bilateral total tiroidektomi ve larenjektomi sonrası farengogastrik anastomoz yapıldı. Ortalama ameliyat süresi 319.64 ± 76.28 (188-452) dakikaydı. Ortalama intraoperatif kanama 109.64 ± 58.58 (40-220) ml ve ortalama hastanede kalış süresi 13.71 ± 3.72 (7-21) gündü. Hiçbir olguda erken postoperatif mortalite gözlenmedi. SONUÇ: Hibrit minimal invaziv özofajektomi uyguladığımız olgularda erken postoperatif sonuçlarımız literatür verileri ile uyumludur.

Anahtar Kelimeler

• Hibrit minimal invaziv özofajektomi
• Özofagus kanseri
• Torakoskopi

Hybrid minimal invasive esophagectomy for esophageal cancer: a single center experience with 14 cases

Öz

AIM: To perform a retrospective evaluation of morbidity, early postoperative mortality rates, and the safety of the procedure in patients who underwent hybrid minimally invasive esophagectomy in our clinic. MATERIAL AND METHOD: The records of 14 patients with esophageal cancer operated using the minimally invasive esophagectomy technique in the general surgery clinic of the XXX Hospital between November 2015 and November 2022 were analyzed retrospectively. RESULTS: The mean age of the 14 cases was 55 ± 11.96 years (32-71). Ten patients (71%) were men and four (29%) were women. The tumor was located in the lower esophagus in 12 cases, in the middle esophagus in one, and in the upper esophagus in one. Near total esophagectomy – cervical anastomosis was performed in 13 cases. Pharyngogastric anastomosis was performed after total esophagectomy, bilateral total thyroidectomy, and laryngectomy in one patient with upper esophageal tumor. The mean operative time was 319.64 ± 76.28 (188-452) min. Mean intraoperative bleeding was 109.64 ± 58.58 (40-220) ml, and the mean length of hospital stay was 13.71 ± 3.72 (7-21) days. No early postoperative mortality was observed in any case. CONCLUSION: Our early postoperative results in cases in which we performed hybrid minimally invasive esophagectomy are consistent with the previous literature.

Anahtar Kelimeler

• Hybrid minimal invasive esophagectomy
• Esophageal cancer
• Thoracoscopy

Kaynakça

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