MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI UNG THƯ ĐẠI TRÀNG

Abstract

Objectives: Observe some clinical, paraclinical characteristics and early outcomes of curative-intent laparoscopic colectomy for colon cancer. Methods: Prospective descriptive study of 144 patients with colon cancer undergoing curative laparoscopic colectomy at K Hospital from June to December 2025. Results: Mean age was 60,28 ± 12,96 years; males accounted for 59%, BMI 18.5 - < 25 was 84.1%, ASA1 score was 55.6%, duration of disease < 3 months was 85.4%. Abdominal pain 72,2%, gastrointestinal disturbances 35.4% and bloody stool 29,9%, preoperative hemoglobin < 100g/l was 9%, preoperative CEA < 5ng/ml was 63,9%, tumor in the sigmoid colon 45.1%, invasive tumors > 1/2 circumference accounted for 70.9%, papillary morphology 73.6%, preoperative staging T3 T4 was 88,2%, N1 was 74,3%. Mean operative time 159,6 ± 33,1 minutes, 72,9% completed in <180 minutes, stomatal preservation accounted 8.3%, moderately differentiated adenocarcinoma 52.1%, stages I, II,III 19.4%, 47.2%, 33.3%. The mean number of lymph nodes retrieved 19,5 ± 9,0. Time to first flatus 3,0 ± 0,9 days; postoperative length of stay 7,9 ± 2,0 days. Early complications included bleeding at the anastomosis site 0,7, localized anastomotic leak 0,7%, anastomotic leakage caused generalized peritonitis 0,7%, postoperative ileus/obstruction 0,7% and surgical site infection 1.4%. On univariate analysis, ages ≥ 65, operative time ≥180 minutes and postoperative complications were associated with prolonged hospital stay. Conclusions: Laparoscopic colectomy for colon cancer at K Hospital is safe, with a low complication rate and favorable early recovery metrics.