ĐÁNH GIÁ KẾT QUẢ LẬP LẠI LƯU THÔNG TIÊU HÓA THEO PHƯƠNG PHÁP FINSTERER SAU CẮT DẠ DÀY BÁN PHẦN CỰC DƯỚI ĐIỀU TRỊ UNG THƯ DẠ DÀY

Abstract

Objectives: This study aimed to evaluate the outcomes of digestive tract reconstruction using the Finsterer method after distal gastrectomy for gastric cancer. Subject and Methods: A retrospective descriptive study was conducted to evaluate the surgical outcomes of 44 patients who underwent distal gastrectomy for gastric cancer from March 2014 to August 2018 at Viet Duc University Hospital. Results: The average operative time was 155.7 ± 25.9 (90 – 200) minutes. The average number of lymph nodes resected was 19.1 ± 4.8 (13 – 37). No significant intraoperative or postoperative complications were noted. The rate of clinical reflux was 45.7%. Gastroscopy confirmed a 71.4% incidence of anastomotic inflammation and a 60% incidence of bile reflux. Early Dumping syndrome was observed in 20% of patients and no cases of late Dumping syndrome reported. The levels of Bilirubin and Amylase in gastric fluid on the first postoperative day were 26.25 mmol/l and 97.6 mmol/l, respectively. After bowel movements were restored, these levels were 23510 mmol/l and 20016 mmol/l, respectively. Conclusion: Digestive tract reconstruction using the Finsterer method after distal gastrectomy for gastric cancer is feasible and safe, with a reasonable operative time. However, the study also revealed a significant incidence of anastomotic inflammation and bile reflux postoperative, as well as the occurrence of early Dumping syndrome. Consideration should be given to the clinical application of the Finsterer method in the management of postoperative complications.