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Date Published: 21/04/2022
Abstract Views: 98
Views PDF: 101
DOI: https://doi.org/10.51298/vmj.v511i2.2146
Issue
Vol. 511 No. 2 (2022)
Section
Các bài báo
How to Cite
Mạnh Hùng, T. . (2022). THE RESULTS OF THE SURGICAL TREATMENT OF GASTRIC CARDIA CANCER AT BACH MAI HOSPITAL. Vietnam Medical Journal, 511(2). https://doi.org/10.51298/vmj.v511i2.2146

THE RESULTS OF THE SURGICAL TREATMENT OF GASTRIC CARDIA CANCER AT BACH MAI HOSPITAL

Trần Mạnh Hùng1,
1 Bach Mai Hospital

Main Article Content

Abstract

Objective: To evaluate the results of the surgical treatment of gastric cardia cancer in Bach Mai Hospital. Subjects and research methods: Retrospective descriptive study of 35 cases  of surgery at Bach Mai Hospital from January 2019 to December 2021. Results: in 35 cases of gastric cardia cancer, 26 men and 9 women, the average age was 61.5 ± 11.2, total gastrectomy was 25/35 (71.4%), Sweet surgery was 7/35 (20.0%), Lewis Santy surgery 2.9%, percutaneous gastrostomy was 5.7%, postoperative complication rate was 11.6%, no death, esophagus section having no cancer cells was 23/31 (74.2%), and cancer cells was 8/31 (25.8%), the average survival after surgery is 23.1 ± 3,1month, 24 months after surgery, there were 16 patients still alive (49.7%), in 36 months there were 10 patients still alive (28.5%). Conclusion: Gastric cardia cancer is the type of lesion with poor prognosis caused by late symptoms, late hospitalization and low transdifferentiation of cells. Surgery is an effective treatment, removing the whole stomach or the upper part of stomach in combination with low esophagus removal to ensure radical.

Article Details

Keywords

gastric cardia cancer, stomach cancer, Gastrectomy, total gastrectomy

References

1. Bofani G, Bufalino R, et al (1982). Adequacy of margins of resection in gastrectomy from cancer. Ann Surg, 196, 865-690.
2. Arai K, Kitamura M, Bufalino R, et al (1993). Studies on proximal margins in gastric cancer from the standpoint of dis crepancy between macroscopic and histological measuremen of invation. Gastroenterol surg, 26, 784- 789.
3. Mayer H.J, Johne J, Pichlmay R (1994). Stragtegies in the surgical treatment of gastric carcinoma. Ann Oncol,5, 33-36.
4. Trịnh Hồng Sơn (2001). Nghiên cứu nạo vét hạch trong điều trị phẫu thuật ung thư dạ dày, Luận án tiến sĩ y học, Trường đại học Y Hà Nội
5. Đỗ Mai Lâm (2001) Nghiên cứu chẩn đoán và điều trị bệnh ung thư tâm vị, Luận văn tốt nghiệp thạc sĩ, Trường đại học Y Hà Nội.
6. Joo M P, Woo S R, et al (2006). Prognostic factors for advanced gastric cancer: stagestraitified analysis of patients who underwent curative resection. Cancer Res Treat, 38(10, 13-18.
7. Chikara Kunisaki, MD, Hiroshi Shimada, MD, Masato Nomura, MD, et al (2005). Surgical outcome in patients with gastric adenocarcinoma in the upper third of the stomach. Surgery, 137, 165- 171.
8. Ninh T, Nguyen MD, Hinojosa M, et al. Thoracoscopic Ivor Lewis esophagectomy with colonic interposition. Ann Thorac Surg 2007; 84:2120-4.
9. Honda M, Daiko H, Kinoshita T, et al. Minimally invasive resection of synchronous thoracic esophageal and gastric carcinomas followed by reconstruction: a case report. Surg Case Rep 2015;1:12.