SOME DETERMINANTS RELATING TO LAPAROSCOPY OF RECTAL CANCER SURGERY BY THE USE OF A CIRCULAR SIDE STAPLING TECHNIQUE
Main Article Content
Abstract
Objective. The study was done to describe some determinants relating the laparoscopy of rectal cancer surgery by the use of a circular side stapling technique at the Institute 103 of Medicine in Military from 1/2016 to 4/2019. Studied subjects and Method. The studied subjects included 88 patients with rectal cancer. The method was a cross-sectional study. Main outcomes and conclusions. BMI ≥ 25 increased the operating time compared with BMI < 25 (p = 0.001); tumor size > 4 cm augmented the operating time compared with that ≤ 4 cm với (p = 0.005), tumors lying at the second third and the end of rectum had longer operating time than the first third (p = 0.05), ileum opening was done in the second and the third 1/3 compared with the first one third (p <0.05). Rectal examination during the operation to locate the site of tumors was done with tumors locating out of peritoneal folds; 3 trocars were more used in females, 5 trocars were more used in males (p = 0.02), the movement of splenic flexure didn’t depend on the site and the size of tumor.
Article Details
Keywords
Determinant, Laparoscopy of Rectal Cancer Surgery, Use of a circular side stapling technique
References
2. Leroy, J., et al., Laparoscopic total mesorectal excision (TME) for rectal cancer surgery:long-term outcomes. Surg Endosc, 2004. 18(2): 281-9.
3. Bình, P.V., Nghiên cứu ứng dụng phẫu thuật nội soi cắt cụt trực tràng đường bụng tầng sinh môn điều trị ung thư trực tràng thấp. 2013, Học viện Quân Y.
4. Điểu, M.Đ., Nghiên cứu ứng dụng phẫu thuật nội soi điều trị ung thư trực tràng. 2014, Trường Đại học Y dược. Đại học Huế.
5. Hùng, M.Đ., Nghiên cứu chỉ định và đánh giá kết quả phẫu thuật nội soi cắt trước thấp nối máy trong điều trị ung thư trực tràng. 2012, Học viện quân y.
6. Hackett, N.J., et al., ASA class is a reliable independent predictor of medicalcomplications and mortality following surgery. Int. J. Surg, 2015. 18: 184 190.
7. Nitsche, U. and e. al, Colorectal cancer surgery remains effective with rising patient age. Int. J. Colorectal Dis, 2014. 29: 971–979.
8. An, N.M., Nghiên cứu chỉ định và đánh giá kết quả phẫu thuật nội soi điều trị tiệt căn ung thư trực tràng thấp. 2013, Học viện Quân Y.
9. Ogiso, S., et al., Evaluation of factors affecting the difficulty of laparoscopic anterior resection for rectal cancer: "narrow pelvis" is not a contraindication. Surgical endoscopy. 25(6): 1907-12, 2011. 25(6): 1907-12.