Surgical outcomes and quality of life assessment of esophagectomy for cancer with colon conduit via retrosternal route

被引:3
|
作者
Long, Vo Duy [1 ,2 ]
Thong, Dang Quang [1 ]
Hai, Nguyen Viet [1 ]
Dat, Tran Quang [1 ]
Quoc, Ho Le Minh [1 ]
Nguyen, Doan Thuy [1 ]
Anh, Nguyen Vu Tuan [2 ]
Minh, Tran Anh [2 ]
Vuong, Nguyen Lam [3 ]
So, Jimmy Bok-Yan [4 ]
Bac, Nguyen Hoang [1 ,2 ]
Uyama, Ichiro [5 ]
机构
[1] Univ Med & Pharm Ho Chi Minh City, Gastro Intestinal Surg Dept, Univ Med Ctr, 215 Hong Bang,Ward 11,Dist 5, Ho Chi Minh City, Vietnam
[2] Univ Med & Pharm Ho Chi Minh City, Fac Med, Dept Gen Surg, Ho Chi Minh City, Vietnam
[3] Univ Med & Pharm Ho Chi Minh City, Fac Publ Hlth, Dept Med Stat & Informat, Ho Chi Minh City, Vietnam
[4] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore
[5] Fujita Hlth Univ, Nagoya, Aichi, Japan
关键词
Esophagectomy; Colon conduit; Esophageal cancer; Quality of life; LONG-TERM; EXTENDED LYMPHADENECTOMY; INTERPOSITION; RECONSTRUCTION; SURGERY;
D O I
10.1007/s10388-023-00984-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose Colon conduit is an alternative to a gastric conduit for esophagectomy in patients that stomach is not available. Surgical technique is complex and has a high risk of morbidities and mortality. Outcomes of patients are still lacking in the literature, thus aims of this study are to evaluate the safety, feasibility and long-term functional outcomes of patients who underwent esophagectomy for cancer with colon conduit via retrosternal route. Methods Twenty-six patients underwent operation between August 2016 and June 2021 for malignancies. Minimally invasive esophagectomy and laparotomy were performed in accordance with the 2017 Japan Esophageal Society's guidelines. Colonic interposition was used for esophageal replacement. Outcomes were technical success, complications assessed using Clavien-Dindo classification, and patient's quality of life (QOL) based on EORTC-QOL-OES18 questionnaire. Results Mean age was 56.0 +/- 9.9 years and 21 patients (80.8%) were men. Mean operating time was 432 +/- 66 min. Technical success was 100%. The average number of resected lymph nodes was 26 +/- 14. Twelve patients (46.2%) experienced postoperative complications: 7/12 were classified as grade I-II, 3/12 as grade III, 1/12 as grade IV, and 1/12 as grade V (death). Patient's QOL improved during the follow-up period with median (25-75th percentiles) global EORTC-QOL-OES18 score was 29 (17-34); 13 (9-21), and 9 (6-16) at 3, 6, and 12 months, respectively. During the follow-up period, there were 4 late complications, 3 lymphatic recurrences, 5 distant metastases, and 6 deaths. Conclusions Colon conduit via retrosternal route after esophagectomy is feasible, safe, and could provide acceptable long-term functional outcomes.
引用
收藏
页码:435 / 444
页数:10
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