SURGICAL OUTCOMES OF GASTRECTOMY WITH RESECTION OF ADJACENT ORGANS FOR GASTRIC ADENOCARCINOMA

Sơn Đặng Thanh, Sơn Trịnh Hồng, Tâm Nguyễn Văn, Hải Dương Hoàng

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Abstract

Objective: To evaluate the results of gastric resection and adjacent organs in the treatment of gastric carcinoma at the Department of Oncology and Radiotherapy, Viet Duc Friendship Hospital from January 2019 to June 2024. Subjects: The study describes 69 patients with gastric cancer (GC) who underwent gastric resection and adjacent organs in the abdomen due to invasive GC, metastasis, other cancers, complications or concomitant diseases. Results: The average age is 64.83 ± 13.94 years old, the youngest is 17, the oldest is 93. The male/female ratio is 3/2. The average BMI is 21.3 ± 2.55. Tumors in the lower third position account for 71%, the upper third position accounts for 8.7%. The average tumor size was 5.34 ± 3.24 cm, the largest was 15 cm. There were 34 patients with tumors at stage T4, 21/34 patients were T4b. There were 63.8% of patients with lymph node metastasis. Stage III, IV accounted for 56.5%. Total gastrectomy accounted for 26.1%, emergency surgery was performed in 2 patients at 2.9%, open surgery was mainly performed in 97.1%, emergency surgery was performed in 2.9%. There were 47.8% of cases due to cancer, of which 34.8% were due to invasive gastric cancer, 13.0% were due to other cancers, 3 patients had their spleen removed due to complications, 47.8% were due to concomitant diseases, mainly gallbladder disease. The main organs resected were the gallbladder (43.5%), liver (14.5%), pancreas (13.0%), colon and rectum (13.0%), spleen (5.8%), and spleno-caudal pancreas (5.8%). The average surgical time was 236.5 ± 77.49 minutes. Intraoperative complications accounted for 5.8%. The average postoperative time was 11.54 ± 5.84 days. The overall postoperative complication rate was 21.7%, including 01 case of severe death due to postoperative bleeding, 03 cases of postoperative bleeding accounting for 4.3%, 01 case of anastomotic leakage accounting for 1.5%. Conclusion: Gastrectomy with other organs in the treatment of gastric carcinoma has a higher complication rate than standard gastrectomy.

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References

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