ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT CẮT GẦN TOÀN BỘ DẠ DÀY VÉT HẠCH TRONG ĐIỀU TRỊ UNG THƯ DẠ DÀY Ở NGƯỜI CAO TUỔI

Abstract

Purpose: To evaluate the feasibility and initial results of subtotal gastrectomy for gastric cancer in elderly patients. Patients and method: A cross sectional study on 111 elderly patients (aged 70 years or above) who underwent radical subtotal gastrectomy in the National cancer hospital from June 2018 to June 2021. Results: The rate of comorbidity was 48,6%. D2 lymphadenectomy was performed in 67,6% patients. There was no operative mortality, morbidity occurred in 13 of 111 patients (11,7%). Pneumonia was the most common complication (4,5%). The mean time to first passage of flatus: 3,10±0,65 days. The mean time for beginning oral feeding was 3,72±0,68 days. Hospital stay: 10,74±3,37 days. Comorbidity and D2 lymph node dissection were not the  risk factor for postoperative complications and prolonged hospital length of stay. Conclusion: Radical subtotal gastrectomy in ederly patients was safe and feasible. D2 or D1, D1+ lymph node dissection should be considered in invidual characteristics.