KẾT QUẢ BƯỚC ĐẦU PHẪU THUẬT NỘI SOI ĐIỀU TRỊ UNG THƯ ĐẠI TRỰC TRÀNG TẠI BỆNH VIỆN ĐA KHOA TỈNH LÀO CAI

Abstract

Research Objective: Laparoscopic surgery (LS) for the treatment of colorectal cancer is increasingly being performed at provincial hospitals across the country. Lao Cai General Hospital conducted its first laparoscopic colorectal resection in 2021. Since then, LS for colorectal cancer treatment has gradually become routine at Lao Cai General Hospital. This study was conducted to evaluate the effectiveness of laparoscopic surgery in the treatment of colorectal cancer at Lao Cai General Hospital during the 2022-2024 period. Subjects and Methods: A retrospective study was conducted on all colorectal cancer patients treated with LS from June 2022 to June 2024 at Lao Cai General Hospital. Results: A total of 61 patients underwent laparoscopic colorectal resection, with a mean age of 62.3 ± 12.6 years (ranging from 19 to 93 years). Among them, 43 were male, and 18 were female. All patients (100%) were diagnosed with adenocarcinoma. The most commonly performed surgeries were radical resections for rectal and sigmoid colon cancer (55.7%). The average surgery duration was 189 ± 43.75 minutes, with a minimum of 120 minutes and a maximum of 300 minutes. The average number of lymph nodes dissected was 7 ± 2.8 nodes. Postoperative complications occurred in 13.1% of patients. The anastomotic leak rate was 4.9% (3 patients), and the infection rate was 8.2%. The average hospital stay after surgery was 10.9 ± 3.7 days. Conclusion: Laparoscopic radical surgery for colorectal cancer at Lao Cai General Hospital has yielded favorable initial results, with a low complication rate. However, improving pathological assessments is necessary to achieve more accurate cancer staging.