ĐẶC ĐIỂM TỔN THƯƠNG, KẾT QUẢ PHẪU THUẬT UNG THƯ DẠ DÀY PHỐI HỢP VỚI LOÉT TÁ TRÀNG

Abstract

Aime of study: 1. Evaluate the lesions of gastriccancer associated with duodenal ulcer. 2. The  surgical results of gastric  coexistence with duodenal ulcer. Results: There were 49 patients, male 81,2%, female 18,8%, mean age 63,74 ± 9,92 year. Medical history: gastroduoenal ulcer in 7,6%; Perfogation of duodenum in 8,2%; Gastroenterotomy in 6,1%.  Epigastric pain in 97,9%; Hematemesis and melena in 59,2%; Gastric outlet obstruction in 36,7%; Weight loss in 71,4%; Abdominal palpable tumor in 26,5%. Gastroduodenalscopy revealed distal gastrictumor in 100%. Gastric tumor located in lower third of stomach in 85,7%; Middle third in 14,3%. Tumor diameter  < 5 cm in 51,0%; ≥5 cm in 49,0%. Duodenal ulcer diameter 1-2 cm in 87,8%; Ulcer > 2-3 cm in 12,2%. Anterior duodenal ulcer in 69,4%; Posterior duodenal ulcer in 14,3%; Kissing ulcer 16,3%. Surgical procedure: Subtotal gastrectomy, D2 lympho node dissection and duodenal ulcer removal in 93,9%; Subtotal gastrectomy (palliative) and duodenal ulcer removal in 6,1%. Duodenostomy  30,6%. Round ligament patch to duodenal stumpt 38,8%. No death per and post operation. Complication in 6,1% (medical treatment). Conclusion: Gastrictumor location: Lower gastriccancer  with duodenal ulcer was 85,7%; Middle gastriccancer with  duodenal ulcer 14,3%; No proximal gastriccancer associated with duodenal ulcer. Duoenal ulcAnterior duodenal ulcer  in 69,4%; posterior ulcer in 14,3%; kissing ulcer in 16,3%. Duodenal ulcer diameter: 1-2 cm in 87,8%; > 2-3 cm in 12,2%. Surgical procedure: Subtotal gastrectomy, D2 lympho node dissection and duodenal ulcer removal in 93,9%;Subtotal gastrectomy (palliative) and duodenal ulcer removal in 6,1%. Duodenostomy in 30,6%. Round ligament patch to duodenal stumpt in 38,8%. No death per and post operation. Complication in 6,1%