ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ UNG THƯ ĐẠI TRÀNG SIGMA

Abstract

Objective: To evaluate efficacy surgical treatment in patients with sigmoid colon cancer. Patients and method: Restropective and prospective description study of 55 patients who underwent a hand-assisted laparoscopic anterior resection or a conventional open anterior resection during 10/2015-7/2016.Results: Open surgery accounts for 81.8%, endoscopy accounts for 18.2%. Overall surgical time was 128 minutes, there was no significant differences between laparoscopic surgery and open surgery. The first flatus time is 3.26 days, the laparoscopic is shorter than that of open surgery. The durations of hospital stay is 10.28 days and laparoscopic is shorter. Our meta-analysis suggests that laparoscopic surgery could achieve the same effectiveness with open surgery in relation to lymph node harvested. Conclusions: The patients with sigmoid colon cancer who underwent a laparoscopic surgery for sigmoid cancer had a lower incidence of postoperative leukocytosis, less administration of pain killers than those who underwent open surgery. Clinical outcomes for patients' recovery and pathology status were similar between the two groups. Therefore, a laparoscopic surgery for sigmoid colon cancer is feasible.