SHORT-TERM OUTCOMES OF LAPAROSCOPIC LOW ANTERIOR RESECTION SURGERY IN THE TREATMENT OF RECTAL CANCER

Nguyen Quang Huy, Dang Khai Toan, Phan Ngoc Phat, Tran Thi Thu Hong

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Abstract

Objectives: To evaluate the clinical, paraclinical features and early results of laparoscopic low anterior resection surgery in the treatment of rectal cancer at People’s hospital 115. Methods: A retrospectively descriptive study on 51 patients who underwent laparoscopic low anterior resection surgery in the treatment of rectal cancer between June 2020 and June 2023 at People’s hospital 115. Results: The mean age of the patients was 63 years. The average operative time was 241.84 ± 65.66 minutes. The average blood loss was 102.94 ± 32.26ml. The average hospitalization time was 16.18 ± 5.14 days. The rate of patients with early complications after surgery was 5.9%, there are 2 cases of anastomotic leaks (3,9%) and be treated with surgery. The average number of lymphadenectomy was 4.50 ± 4.26 nodes. Rate conversion to the open approach was 0%, there was no deaths. Classify initial results: Good 96 %, intermediate 4 %, bad 0 %. The operation time related to BMI, and the anastomotic leak related to the method cleansing of the colon. Conclusion: Laparoscopic low anterior using stapling devices was a safe, feasible, and effective surgery in the treatment of rectal cancer with a high success rate (96%), a low rate of complications (5,9%), quick recovery and short hospital stay.

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References

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