KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT DẠ DÀY BÁN PHẦN CỰC DƯỚI, NẠO VÉT HẠCH D2 VỚI MIỆNG NỐI TRONG Ổ BỤNG ĐIỀU TRỊ UNG THƯ BIỂU MÔ DẠ DÀY TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To evaluate the outcomes of laparoscopic distal gastrectomy with D2 lymphadenectomy and intracorporeal anastomosis in the treatment of gastric adenocarcinoma at Viet Duc University Hospital during the period 2021–2024. Subjects and Methods: This is a retrospective descriptive study with convenience sampling, conducted on 36 patients who underwent laparoscopic distal gastrectomy with D2 lymphadenectomy and intracorporeal anastomosis for the treatment of gastric adenocarcinoma at Viet Duc University Hospital during the period 2021–2024. Results: The mean age of patients was 62.4 ± 11.4 years (range: 37–86 years), with males accounting for 69.4%. The most common chief complaint was epigastric pain (69.4%). The tumor was most frequently located at the antrum–pylorus and lesser curvature (97.2%). The average tumor size was 3.14 ± 1.65 cm. The predominant histopathological type was adenocarcinoma (86.1%). The mean number of harvested lymph nodes was 22.31 ± 7.64, with an average of 1.61 ± 4.29 metastatic lymph nodes. The mean operative time was 202.67 ± 51.38 minutes (range: 120–360 minutes). Most patients did not experience intraoperative complications. Postoperatively, the majority reported mild pain (72.3%). The average time to early ambulation was 1.83 days, nasogastric tube removal at 1.94 days, first flatus at 3 days, and oral intake was initiated at 3.25 days. The mean length of hospital stay was 7.25 days. The postoperative complication rate was 8.4%, including anastomotic bleeding and residual abscess, all of which were managed successfully with conservative treatment and patients were discharged in stable condition. Conclusion: Laparoscopic distal subtotal gastrectomy with D2 lymphadenectomy and intracorporeal anastomosis is a safe and highly effective method for the treatment of gastric adenocarcinoma