KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI CẮT GẦN TOÀN BỘ DẠ DÀY ĐIỀU TRỊ UNG THƯ DẠ DÀY GIAI ĐOẠN cT1,2N0M0 TẠI BỆNH VIỆN K

Abstract

Objective: Evaluate the early results of cT1,2N0M0 gastric cancer patients who treated with laparoscopic distal gastrectomyat K hospital. Methods: prospective study, longitudinal follow-up (pre-operative and postoperative results) on 37 patients with gastric cancer who underwent Laparoscopic Distal Gastrectomy atAbdominal Department 1- K Hospital from December 2019 to December2020. Results: 37 patients were involved in this research, with male/female ratio was 2/1, average age was 54,1. Average surgery time was 192 mins (135-255). The amount of blood loss is 44(10-100)(ml). The average number of dissected nodes was 23(15-45). Billroth I anastomosis (Delta) performed in 64,9%, Roux-en-Y anastomosis performed in 35,1%.Averagelength of nasal tube removal was 13 hours, urinary catheter removal was 40,3 hours, postoperative gastrointestinal motility was 47,8 hours. Early postopeative oral feeding shortens first time at day 2, drainage tube withdrawal was 6,4 (days) and average length of hospital staywas7,1 days. None of those patients have intraoperative and postoperative complications, such as haemorrhage, duodenal stump fistula, anastomosis leakage, surgical site infections,etc. Conclusion: Laparoscopic distal gastrectomy is a safe and effective surgical approach, applicable to the curativetreatment of cT1,2N0M0 gastric cancer in K hospital.