ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI CẮT DẠ DÀY GẦN TOÀN BỘ TRONG ĐIỀU TRỊ UNG THƯ DẠ DÀY GIAI ĐOẠN CT1-2N0M0 TẠI BỆNH VIỆN K

Abstract

Objective: Evaluation of  clinical signs and paraclinical characteristics and early results of laparoscopic subtotal gastrectomy  of  patients with cT1-2N0M0 gastric cancer at the Abdominal Surgery Department I, K Hospital. Subjects and Methods: A randomized, uncontrolled clinical intervention study in 52 patients underwent laparoscopic subtotal gastrectomy from August 2020 to February 2022. Results: The mean age was 54.1 years old, with mainly onset time < 3 months (76.9%). All patients preoperatively were diagnosed as T1-T2N0, 9,6% of patients had postoperative stage T3-T4 and 28,9% of patients had lymph node metastasis. The average operative time was 192 minutes. The patients in the study group had an early postoperative recovery time. There were no cases of complications during and after surgery such as bleeding, wound infection, duodenal stump leakage, anastomotic leakage, intestinal obstruction, or re-hospitalization within 30 days. Conclusions: Laparoscopic subtotal gastrectomy achieved good results in operation time, average amount of blood loss, number of lymph nodes harvested, as well as no accidents and complications.