ĐÁNH GIÁ KẾT QUẢ SỚM CỦA PHẪU THUẬT TRIỆT CĂN TRONG ĐIỀU TRỊ UNG THƯ DẠ DÀY TẠI BỆNH VIỆN 19-8

Abstract

Objective: To describe the clinical and paraclinical characteristics, and to evaluate the early outcomes, feasibility, safety, and effectiveness of radical surgery in the treatment of gastric cancer at 19-8 Hospital. Subjects and Methods: A retrospective and prospective descriptive study of 35 patients who underwent radical surgery for gastric cancer at 19-8 Hospital from July 2021 to July 2025. Results: The study included 35 patients: 25 males (71.4%) and 10 females (28.6%), with a male-to-female ratio of 2.5:1. The mean age was 61.7 ± 11.9 years (range: 30–84). The most common tumor location was the distal third of the stomach (62.9%). Subtotal gastrectomy was performed in 32 cases (91.4%), and total gastrectomy in 3 cases (8.6%). The mean operative time was 182.17 ± 19.35 minutes (range: 145–240). The majority of digestive tract reconstructions were Roux-en-Y (94.3%). No intraoperative complications or postoperative mortality were observed. A total of 731 lymph nodes were dissected, with an average of 20.88 ± 8.69 nodes per patient (range: 12–46); among them, 123 metastatic nodes were found, accounting for 16.82%. The postoperative complication rate was 8.6%, including one case requiring reoperation due to early bowel obstruction. The average postoperative hospital stay was 12.25 ± 2.82 days (range: 7–19). Conclusion: Radical surgery for gastric cancer at 19-8 Hospital is a safe technique that has shown good preliminary results and provides high treatment efficacy for patients.