ĐÁNH GIÁ KẾT QUẢ SỐNG THÊM SAU ĐIỀU TRỊ UNG THƯ ĐẠI TRÀNG GIAI ĐOẠN T4 HOẶC N1-2 BẰNG PHẪU THUẬT CẮT TOÀN BỘ MẠC TREO ĐẠI TRÀNG VÀ HÓA TRỊ TẠI KHOA ĐIỀU TRỊ THEO YÊU CẦU BỆNH VIỆN K

Abstract

Objectives: Describe the results of complete mesocolic excision in stage II,III colon cancer treatment at K hospital. Patients and methods: 50 patients was diagnosed stage II,III colon cancer at K hospital. Result: All patients in this study had opened surgery, the average surgery time was 121,7 ± 16,9 minutes, the time to first flatus was 3,5 ± 0,5 days, the length of hospital stay was 8,7 ± 1,1 days. The average specimen length was 31,2 ± 2,4cm, the proximal resection margin was 12,8cm, the distal resection margin was 9,9cm. The median number of examined lymph nodes was 30,9 ± 19,3, in which the number of lymph nodes in D1 was 12,3, lymph nodes in D2 was 8,9, lymph nodes in D3 was 5,6 lymph nodes and N2O-2A lymph nodes were 4,1 nodes. Fifty percent of patients had lymph node metastases with an average of 3,8 lymph nodes per case, in which 40% had D1 lymph node metastases, 28% had D2 lymph nodes metastases, 12% of patients had D3 lymph node metastases and 6% of N2O-2A lymph node metastases. No complications such as damage to major blood vessels or adjacent organs, bleeding or respiratory cardiovascular complications during surgery. One patient with postoperative pulmonary infarction was intervened to remove blood clotting, postoperative stabilized after 17 days, 2 cases of patients (4%) had pneumonia and arrhythmia after surgery (all of them had history cardiopulmonary disease) and stabilized after medical treatment. There were no complications such as postoperative bleeding, anastomotic leak or narrow . The average follow-up to the present time is 19,1 months, no cases of relapse or death have been recorded. The average time observation after surgery is 41,1 months; OS 98% and DFS 96%. 1 Case (2%) recurent peritoneal metastasis an 1 case(2%) live metastasis.