KẾT QUẢ PHẪU THUẬT CẮT BÁN PHẦN DƯỚI DẠ DÀY, NẠO VÉT HẠCH D2 ĐIỀU TRỊ UNG THƯ BIỂU MÔ DẠ DÀY TẠI BỆNH VIỆN ĐA KHOA TỈNH NINH BÌNH

Abstract

Gastric cancer (GC) is a common cancer and the leading cause of death among cancers. Objective: To evaluate the surgical outcomes of subtotal gastrectomy with D2 lymphadenectomy for gastric adenocarcinoma at Ninh Binh Provincial General Hospital. Subjects and Methods: A retrospective study of gastric adenocarcinoma patients who underwent subtotal gastrectomy with D2 lymphadenectomy from January 2021 to December 2022 at Ninh Binh Provincial General Hospital. Results: The study included 65 patients, with the majority aged over 50 years, accounting for 92.3%. The male-to-female ratio was 73.2:26.2. The average surgical duration was 153.7 minutes (minimum 120, maximum 250 minutes). The average number of harvested lymph nodes was 15.7. The reconstruction technique was 72% Bilroth II and 28% Bilroth II-Braun. The majority of cases were stage IIb and IIIa, representing 23.1% and 41.5%, respectively. The overall complication rate was 23.1%, with the majority being mild. Some long-term outcomes recorded included: gastroesophageal reflux rate at 47.7%, anastomotic inflammation rate at 56.9%, and the average time to onset of anastomotic inflammation post-surgery: 15.4 ± 8.6 months. The average survival time was 52.1 ± 1.2 months. Conclusion: Subtotal gastrectomy with D2 lymphadenectomy is a safe and feasible procedure with low complication rates, suitable for provincial-level healthcare conditions.