KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT BỆNH LÝ TÚI THỪA ĐẠI TRÀNG CÓ BIẾN CHỨNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP

Abstract

Objective: To describe the clinical and subclinical characteristics and evaluate the early outcomes of surgical treatment for complicated colonic diverticular disease (CDD) at Viet Tiep Friendship Hospital from January 2020 to June 2023. Patients and Methods: A retrospective descriptive study with comparative analysis was conducted on 38 patients aged 16 years and older who were diagnosed with and underwent surgical treatment for complicated CDD. Data were collected on epidemiological characteristics, clinical manifestations, subclinical results, surgical methods, and early postoperative outcomes. Results: The disease was most common in the age group over 60 (50%), with a mean age of 60.0 ± 14.6 years. The Male/Female ratio was 1/1. The most frequent site of diverticular damage was the sigmoid colon (55.3%), followed by the cecum (26.3%). The most common complication was peritonitis due to diverticular perforation (52.6% pre-operative diagnosis). The modified Hinchey classification recorded the majority of patients in stages III and IV (purulent/fecal peritonitis). The average postoperative hospital stay was 14.6 ± 3.8 days. The rate of early postoperative complications was 28.9% (11/38 cases). The early outcome of surgical treatment was rated as Good, reaching 71.1%. Conclusion: Surgical treatment for complicated colonic diverticular disease at Viet Tiep Friendship Hospital achieved good results with a high success rate (71.1%); however, the rate of early complications remains high (28.9%). Accurate pre-operative diagnosis is still challenging, emphasizing the need to enhance the role of computed tomography (CT) scans.