ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT NỘI SOI HOÀN TOÀN ĐIỀU TRỊ UNG THƯ ĐẠI TRỰC TRÀNG LẤY BỆNH PHẨM QUA ĐƯỜNG TỰ NHIÊN TẠI BỆNH VIỆN BẠCH MAI

Abstract

Results: A retrospective study was conducted on 30 colorectal cancer patients who underwent complete laparoscopic resection of the colon and rectum and collected specimens through the natural route at Bach Mai Hospital from January 2021 to December 2023. Results: Average age 63.5 (39-77), male/female ratio 1/2, average BMI 21.6. Tumor location was mainly in the sigmoid colon 19 patients and rectum 7 patients. Samples were collected through the vagina 14 patients (46.7%), rectum 16 patients (53.4%). The anastomosis was mainly lateral-peritoneal, accounting for 70%. Average tumor size: 24 ± 10mm (6-45mm). Average surgical time 150 ± 30 minutes (90-210 minutes). 100% of patients had complete laparoscopic surgery. Postoperative complications:1patient had postoperative anastomotic leakage and surgical site infection, postoperative fever in 3 patients (10%). The number of days in hospital after surgery was 5.8 ± 1.3 days, there was no death within 30 days related to surgery. Conclusion: Complete laparoscopic surgery for colorectal cancer with natural biopsy is safe and feasible, and gives good early results. It reduces trauma to the patient, helps the patient to have less pain and recover sooner after surgery. However, the surgery time is longer. Therefore, NOSE surgery can completely replace traditional surgery when performed correctly.