KẾT QUẢ PHẪU THUẬT CẮT TOÀN BỘ DẠ DÀY ĐIỀU TRỊ UNG THƯ BIỂU MÔ DẠ DÀY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: Describe the clinical, subclinical characteristics and results of gastric adenocarcinoma treated by total gastrectomy at Hanoi Medical University Hospital. Methods: The retrospective descriptive study includes 19 patients who have been diagnosed gastric cancer, underwent total gastrectomy at the Department of General Surgery - Hanoi Medical University Hospital from January 2021 to December 2024. Results and discussion: The mean age of the study group is 64.89 ± 12.04 years old (range: 34-80 years old). The age group with the highest percentage is over 60 years old, accounting for 78.95%. Male/female ratio = 2.17/1. The most common symptom is epigastric pain, accounting for 78.95%. Adenocarcinoma accounts for the majority with 89.48% of cases, and signet ring cell carcinoma accounts for 10.52%. Simple total gastrectomy accounts for 89.48%, with 2 cases of extended total gastrectomy due to invasion of the transverse colon, splenic hilum, and tail of the pancreas. The average surgery time was 198.28 ± 49.78 minutes, with no complications during surgery. There are 3 cases of surgical wound infection, 2 cases of anastomotic leak, and 1 case of postoperative pneumonia. The postoperative hospital stay is 14.42±7,65 days. Conclusions: Total gastrectomy for gastric cancer is safe, with a low complications rate. However, it is still a complicated surgery with a short postoperative survival time and requiring a surgeon with a lot of experiences.