RESULTS OF MILES SURGERY TO TREAT LOW RECTAL CANCER AT BACH MAI HOSPITAL

Trần Mạnh Hùng1,, Trần Quế Sơn1,2, Trần Hiếu Học1,2, Nguyễn Hoàng Quân3, Vũ Đức Long1
1 Bach Mai Hospital
2 Hanoi Medical University
3 Nghe An Oncology Hospital

Main Article Content

Abstract

Aims: To evaluate the results of Miles surgery in the treatment of low rectal cancer. Materials and methods: Retrospective study of low rectal cancer patients undergoing rectal amputation at Bach Mai Hospital from January 2015 to December 2019. Results: 52 patients, including 26 men, 26 women, surgery including laparoscopic 15 (28.8%) and open 37 (71.2%); disease stages I, II, III, IV are 25%, 32.7%, 32.7% and 9.6%, respectively. Surgery time 126.2 minutes (70-240), hospital stay 9.37 days (6-20), complications 1.9%, complications 7.6%. The longest follow-up time was 55 months, the overall survival after 12, 24, 36 and 48 months was 96.1%, 86.5%, 75.0% and 65.4%, respectively. overall is 39.69 ± 2.47 months. There were 3 cases of local recurrence after surgery at 12, 15, 18 months in patients with T4 tumor. Conclusion: Miles surgery in the treatment of low rectal cancer is quite effective with low complications and relatively high survival time after surgery.

Article Details

References

1. Nahas S.C., Nahas C.S.R., Bustamante-Lopez L.A., Pinto R.A., Marques C.F.S., Cecconello I. Outcomes of surgical treatment for patients with distal rectal cancer: A retrospective review from a single university hospital. Revista de Gastroenterología de México. 2020;85(2):180-189.
2. Phạm Hùng Cường. Phẫu thuật bảo tồn hậu môn điều trị ung thư trực tràng thấp tại bệnh viện ung bướu TPHCM. Tạp chí Y học lâm sàng – Bệnh viện Trung ương Huế số 65-2020, 71-77.
3. Holm T. Abdominoperineal Excision: Technical Challenges in Optimal Surgical and Oncological Outcomes after Abdominoperineal Excision for Rectal Cancer. Clin Colon Rectal Surg 2017;30:357–367.
4. Phạm văn Bình (2013). Nghiên cứu ứng dụng phẫu thuật nội soi cắt cụt trực tràng đường bụng tầng sinh môn điều trị ung thư trực tràng thấp. Luận án tiến sỹ y học, Học viện Quân Y.
5. Mai Đình Điểu (2014). Nghiên cứu ứng dụng phẫu thuật nội soi điều trị ung thư trực tràng. Luận án tiến sỹ y học, Trường Đại học Y Dược Huế.
6. Trần Ngọc Dũng, Hà Văn Quyết, Kim Văn Vụ, Chu thị Chi (2014). Đánh giá kết quả sớm của phương pháp phẫu thuật nội soi trong điều trị ung thư trực tràng. Y học thực hành số 2/2014 (905), 35-38.
7. Chung HJ., Kim JG., Kim HJ., Cho HM., Kye BH. (2021). The Safety and Feasibility of Laparoscopic Surgery for Very Low Rectal Cancer: A Retrospective Analysis Based on a Single Center’s Experience. Biomedicines 2021, 9, 1720. doi.org/10.3390/biomedicines9111720.
8. Neşşar G, Demirbağ AE, Celep B, Elbir OH, Cüneyt Kayaalp C. (2016). Extralevator abdominoperineal excision versus conventional surgery for low rectal cancer: a single surgeon experience. Ulus Cerrahi Derg 2016; 32: 244-247. DOI: 10.5152/UCD.2016.3251.
9. Davies M., Harries D., Hirst G., Beynon R., Morgan A. R., Carr N. D. and Beynon J. (2008). Local recurrence after abdomino-perineal resection. Colorectal Disease, 11, 39–43 doi:10.1111/j.1463-1318.2008.01520.