ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI ĐIỀU TRỊ UNG THƯ DẠ DÀY TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objectives: Study on the clinical, paraclinical characteristics and early outcomes of laparoscopic gastrectomy for gastric cancer at Can Tho Central General Hospital.

Methods: A cross-sectional descriptive study was conducted on 44 patients with gastric cancer who underwent laparoscopic gastrectomy at Can Tho Central General Hospital from June 2021 to June 2023.

Results: The mean age of the patients was 57.5 ± 10.5 years, with a male-to-female ratio of 1.93:1. Gastroscopy revealed that the most common tumor location was the antrum-pylorus region (66%). Macroscopically, the exophytic type was the most frequent, accounting for 36.4%; a tumor size of 3 - 5 cm represented the highest proportion at 43.2%. Subtotal distal gastrectomy was the most commonly performed surgical procedure (93.2%). The mean operative time was 183 ± 32.8 minutes. Stage T4a was predominant, accounting for 50%. Lymph node metastasis was observed in 52.3% of cases, with stages N2 and N3a being the most common at 20.5% and 22.7%, respectively. The mean postoperative hospital stay was 7.75 ± 1.5 days, and the mean time to first flatus was 3.2 ± 1.1 days. The postoperative complication rate was 6.82%, including 2 cases of surgical site infection and 1 case of anastomotic stricture. The overall surgical success rate was 93.2%.

Conclusions: Laparoscopic gastrectomy for gastric cancer demonstrates a high success rate (93.2%) with low and manageable complication rates, primarily limited to surgical site infections and anastomotic strictures.