ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI ĐIỀU TRỊ UNG THƯ ĐẠI TRÀNG TRÁI TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objective: The study has 2 objectives: (1) Research clinical and paraclinical characteristics of left colon cancer treated by laparoscopic surgery at Can Tho Central General Hospital. (2) Evaluate early results of laparoscopic surgery to treat left colon cancer at Can Tho Central General Hospital. Methods: Designed a descriptive, retrospective and prospective cross-sectional study on 42 patients with a confirmed diagnosis of left colon cancer, treated with laparoscopic surgery to remove the tumor-containing colon and restore the colon. Restore digestive circulation in the first period at Can Tho Central General Hospital, from April 2022 to April 2024. Result: Clinical and paraclinical characteristics: Common clinical symptoms: 90.9% abdominal pain. Tumor location: 15.9% in the left half of the transverse colon and splenic flexure colon; 43.2% in the descending colon and 40.9% in the sigmoid colon. Tumor size: 90.9% tumors ≤ 5cm. Microscopic: 100% adenocarcinoma. Stage: I (Dukes A): 38.6%; II (Dukes B): 34.1%; III (Dukes C): 27.3 %. Early surgical results: Surgical method: 45.5% high left colon resection, 36.4% low left colon resection, 18.2% left hemicolectomy. Restoration of digestive circulation: 100% initial anastomosis, 97.7% mechanical anastomosis. Distance on tumor: 84.1% from 5 - 10 cm. Distance under tumor: 79.5% from 5 - 10 cm. Complications during surgery: 2.3% tumor rupture. Early complications after surgery: 0%. Postoperative mortality: 0%. Average time to restore intestinal circulation after surgery: 3.18 ± 0.76 days. Average postoperative hospital stay: 7.2 ± 1.07 days.