1. Thoracoscopic radical esophagectomy combined with left inferior pulmonary ligament lymphadenectomy for esophageal carcinoma via the right thoracic approach: A single-center retrospective study of 30 cases.
- Author
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Huang S, Yang T, Wang W, Huang G, Chen B, Chen P, Ke D, Huang W, and Xie J
- Subjects
- Aged, China epidemiology, Female, Humans, Length of Stay statistics & numerical data, Male, Mediastinum, Neoplasm Recurrence, Local pathology, Neoplasm Staging, Operative Time, Prognosis, Retrospective Studies, Esophageal Neoplasms diagnosis, Esophageal Neoplasms pathology, Esophageal Neoplasms surgery, Esophageal Squamous Cell Carcinoma diagnosis, Esophageal Squamous Cell Carcinoma pathology, Esophageal Squamous Cell Carcinoma surgery, Esophagectomy adverse effects, Esophagectomy methods, Lymph Node Excision methods, Lymph Nodes surgery, Neoplasm Recurrence, Local prevention & control, Postoperative Complications diagnosis, Postoperative Complications epidemiology, Thoracic Surgery, Video-Assisted adverse effects, Thoracic Surgery, Video-Assisted methods
- Abstract
Abstract: To evaluate the necessity, safety, and feasibility of left inferior pulmonary ligament lymphadenectomy during video-assisted thoracic surgery (VATS) radical esophagectomy via the right thoracic approach.Thirty patients (20 men, 10 women) with thoracic esophageal squamous cell carcinoma (ESCC) were recruited for this study. The patients' age ranged from 50 to 80 years, with an average age of 66.17 ± 7.47 years. After the patients underwent VATS radical esophagectomy and left inferior pulmonary ligament lymph node dissection (LIPLND) via the right thoracic approach, the operative outcomes included operative time, length of hospital stay, postoperative complications, number of lymph nodes removed, and postoperative pathologic results were evaluated.There were no massive hemorrhages of the left inferior pulmonary vein during the operation. The operative time of LIPLND was 8.67 ± 2.04 minutes, and the length of postoperative hospital stay was 12.23 ± 2.36 days. The postoperative complications included 2 cases of left pneumothorax, 4 pulmonary infection cases, and no chylothorax. Moreover, 68 LIPLNs were dissected, 5 of which were positive, and the degree of metastasis was 7.4%. The postoperative pathologic results showed that 3 cases of LIPLNs were positive, with a metastasis rate of 10.0%. Among them, 2 cases were SCC of the lower thoracic esophagus, and 1 case was SCC of the middle thoracic esophagus, which involved the lower segment.Thoracoscopic esophagectomy combined with left inferior pulmonary ligament lymphadenectomy for esophageal carcinoma via the right thoracic approach will not increase the difficulty of operation, increase the incidence of postoperative complications or prolong the postoperative hospital stay, and can theoretically reduce tumor recurrence. Therefore, we believe that LIPLND is necessary, safe, and feasible and is worthy of clinical popularization and application., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2021
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