ĐẶC ĐIỂM DI CĂN HẠCH CỦA BỆNH NHÂN UNG THƯ BIỂU MÔ DẠ DÀY ĐƯỢC PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT BÁN PHẦN CỰC DƯỚI, NỐI DẠ DÀY – HỖNG TRÀNG TRÊN QUAI Y TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Research objective: Describe the characteristics of lymph node metastasis in patient’s gastric carcinoma who underwent total laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction at the Department of General Surgery, Hanoi Medical University Hospital from January 2021 to June 2023. Subjects and research methods: Retrospective descriptive study on patient’s gastric carcinoma who underwent total laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction at the Department of General Surgery, Hanoi Medical University Hospital. Results and discussion: The rate of lymph node metastasis in 69 patients was 66.67%. The average number of lymphnode metastasis (group 1-8) was 2.45 ± 3.66 and the average number of lymphnode metastasis (group 9-12) was 1.07 ± 1.84. Our analysis shows that age (over and under 60 years old), macroscopic lesions (according to Borrmann's classification), level of invasion, and level of differentiation of the tumor are risk factors. independent of lymph node metastasis in gastric cancer (p<0.05). Gender and tumor location have no significant difference when related with lymph node metastasis in gastric carcinoma (p< 0.05). Conclusion: Age (over, under 60), tumor size, level of invasion, macroscopic lesions, and level of differentiation are independent risk factors for lymph node metastasis in UDDD. Other factors such as gender and tumor location do not have a significant relationship with lymph node metastasis in gastric cancer.