KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT BÁN PHẦN CỰC DƯỚI DẠ DÀY NẠO VÉT HẠCH D2 ĐIỀU TRỊ UNG THƯ BIỂU MÔ DẠ DÀY TẠI BỆNH VIỆN ĐA KHOA TỈNH THANH HOÁ

Abstract

Background: Laparoscopic distal gastrectomy with D2 lymphadenectomy has become increasingly adopted in the treatment of gastric adenocarcinoma at provincial hospitals. However, data evaluating its effectiveness in this setting remains limited. Methods: A retrospective descriptive study was conducted on 50 patients with gastric adenocarcinoma who underwent laparoscopic distal gastrectomy with D2 dissection at Thanh Hoa General Hospital from January 2020 to December 2023. Results: Most tumors invaded the serosa (80%). The average number of lymph nodes dissected was 15.69 ± 3.38; 37% of cases had ≥15 nodes removed. Mean operative time was 208.4 ± 36.5 minutes. Time to first flatus averaged 50.66 ± 16.44 hours. Average hospital stay was 9.84 ± 3.54 days. Intraoperative complication rate was 6%; postoperative complications occurred in 16% of patients. Postoperative tumor stages I/II/III were 3/27/20. All patients underwent reconstruction using Billroth II (Hofmeister–Finsterer) with Braun anastomosis. Conclusion: Laparoscopic distal gastrectomy with D2 lymphadenectomy for gastric adenocarcinoma can be safely and effectively performed in provincial hospitals, improving cancer treatment outcomes at the local level.