Oncological Outcomes after Minimally Invasive Oesophagectomy for Oesophageal Carcinoma: Experience from a High Volume Centre in Pakistan

Muhammad Omar Farooq; Bilal Umair; Sohail Saqib Chatha; Rashid Hasnain; Raheel Khan; Farhan Ullah

doi:10.51253/pafmj.v75iSUPPL-4.9155

Authors

Muhammad Omar Farooq Department of Thoracic Surgery, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Bilal Umair Department of Thoracic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sohail Saqib Chatha Department of Thoracic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Rashid Hasnain Department of Thoracic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Raheel Khan Department of Thoracic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Farhan Ullah Department of Thoracic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-4.9155

Keywords:

Carcinoma Oesophagus, Minimally Invasive Oesophagectomy, Oncological Outcome, Open Oesophagectomy.

Abstract

Objective: To share the experience of minimally invasive oesophagectomy for oesophageal carcinoma in terms of oncological clearance and number of lymph nodes resected in our setup, being one of the high volume centres in country.

Study Design: Prospective observational study.

Place and Duration of Study: Department of Thoracic surgery, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2018 to Dec 2021.

Methodology: A total number of 83 patients were included in the study who had a histological diagnosis of carcinoma of oesophagus and underwent minimally invasive oesophagectomy. The resection samples were subjected to histopathological analysis at Armed Forces Institute of Pathology. A Pro forma was designed to record all the demographic information as well as information regarding histological diagnosis, margin clearance, number of lymph nodes retrieved and one-year follow-up analysis.

Results: A total of 83 minimally invasive oesophagectomies were performed for carcinoma of oesophagus. Histopathology report confirmed clearance margin and R0 resection in 80 patients (96.38%) while in 3 patients (3.61%) involvement of radial resection margin was found. Lymph nodes were retrieved with a minimum number of 13 and maximum number of 33 lymph nodes. Mean number of lymph nodes retrieved was 22.23+3.68. (Stations of lymph node removed including abdominal nodes).

Conclusion: Satisfactory oncological clearance and adequate lymphadenectomy can be performed with minimally invasive oesophagectomy when performed in experienced hands.

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Author Biography

Farhan Ullah, Department of Thoracic Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Maj FarhanUllah, Regsitrar Thoracic Surgery

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