ĐIỀU TRỊ TẮC RUỘT DO UNG THƯ ĐẠI TRỰC TRÀNG TẠI BỆNH VIỆN 19-8: GIẢI PHÁP VÀ KỸ THUẬT

Abstract

Purpose: To describe the treatment methods and evaluate early outcomes of emergency surgery for bowel obstruction caused by colorectal cancer. Subjects and Methods: A retrospective descriptive study was conducted on 32 patients who underwent emergency surgery for colorectal cancer-induced bowel obstruction from 2022 to December 2024 at 19-8 Hospital. Results: The mean age was 69.38 ± 14.18 years (range: 44–95). The primary reason for hospital admission was abdominal pain (100%). Common clinical symptoms included abdominal distension (93.8%) and absence of flatus and defecation (81.3%). Abdominal X-ray without preparation showed air-fluid levels in 93.75% of cases. Abdominal CT scan detected bowel obstruction caused by colorectal tumors in 100% of cases, with 8 cases showing metastasis. Tumor location was predominantly in the left half of the colon (62.5%). The average number of lymph nodes retrieved was 15.14 ± 5.67 (range: 8–26). The mean operative time was 216.88 ± 47.43 minutes (range: 140–330), time to return of bowel function was 3.73 ± 0.46 days (range: 3–5), and the average postoperative hospital stay was 15.51 ± 4.54 days (range: 9–23). There were 2 cases (6.25%) of surgical site infection, which were managed conservatively; no cases required reoperation and there were no postoperative deaths. Conclusion: Emergency surgery for bowel obstruction due to colorectal cancer is a feasible and safe approach, both surgically and oncologically, in appropriately selected patients.