KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI CẮT ĐOẠN TRỰC TRÀNG SAU HÓA XẠ TRỊ TIỀN PHẪU TẠI BỆNH VIỆN K

Abstract

Objectives: To evaluate early results of laparoscopic anterior resection of rectum following neoadjuvant chemoradiation. Patients and methods: Combined retrospective and prospective study on 54 rectal cancer patients underwent laparoscopic anterior resection of rectum following neoadjuvant chemoradiation at Abdominal Surgery 2 Department, National Cancer Hospital between April 2023 and June 2024. Results: Mean age was 59,4 ± 12,8 (31-80). Male/Female ratio = 1,7/1. Mean operation time was 140,8 ± 28,5 minutes (95 – 200), 12 patients had ileostomy (22,2%), the mean number of lymph nodes dissected was 7,63 ± 3,51 (4-15), mean distal margin distance was 2,61 ± 1,28 (1-6 cm), all patients had negative distal margin after surgery. 3 patients had anastomotic leakage (5,56%), the overall ratio for intraoperative and postoperative complications was 9,3%, none of patient was death. Conclusions: Laparoscopic anterior resection of rectum following neoadjuvant chemoradiation was safe, feasible while maintaining oncological criteria.