Early outcome of complete thoracoscopic in pulmonary metastasectomy from colorectal cancer in Binh Dan Hospital
Tóm tắt
Objective: Access early outcomes of complete thoracoscopic in pulmonary metastasectomy from colorectal cancer.
Subject and method: Retrospective description. 12 patients had performed complete thoracoscopic in pulmonary metastasectomy from colorectal cancer in Thoracic and Thyroid department, Binh Dan Hospital from 2017 to 2022.
Result: Average age: 62,67 ± 8,15 years old. Male: female ratio: 5: 1. Rectal cancer is the most common type of primary cancer, accounting for 75% of cases (9 of 12 patients). The interval between resection of the primary tumor and the diagnosis of lung metastasis (the “disease-free interval” or “DFI”) was ≥ 24 months in 10 patients (83.3%) and was < 24 months in 2 patients (16.7%). The mean disease-free time was 35 months. 10 patients who had only one pulmonary metastasis underwent complete thoracoscopic lobectomy, and 2/12 (17%) patients who were diagnosed with having more than one metastasis (two metastases in the lower and middle lobes) underwent laparoscopic complete lobectomy of the right upper and lower lobes. The average duration of an operation is 168,33 ± 20,04 minutes. The average blood loss is 124,17 ± 53,34 ml. No major intraoperative complications were recorded. Postoperative mild complications occurred in 8.3% of cases: postoperative pneumonia. There were no serious complications or deaths. The average length of a hospital stay is 6,92 ± 1,39 days. Good treatment results with low postoperative pain.
Conclusion: Complete thoracoscopic lobectomy for pulmonary metastasectomy is safe in technique and oncology, with few complications and good early results: rapid recovery and less pain after surgery.
