Article Sidebar

PDF
Date Published: 10/02/2023
Abstract Views: 162
Views PDF: 126
DOI: https://doi.org/10.51298/vmj.v520i1B.3834
Issue
Vol. 520 No. 1B (2022)
Section
Các bài báo
How to Cite
Văn Trường, N. ., Quang Minh, Đào ., & Lam Hòa, N. . (2023). LAPAROSCOPIC FOR LOW RECTAL CANCER BY SCHIESSEL.R TYPE AT THANH NHAN-HA NOI HOSPITAL. Vietnam Medical Journal, 520(1B). https://doi.org/10.51298/vmj.v520i1B.3834

LAPAROSCOPIC FOR LOW RECTAL CANCER BY SCHIESSEL.R TYPE AT THANH NHAN-HA NOI HOSPITAL

Nguyễn Văn Trường1,, Đào Quang Minh1, Nguyễn Lam Hòa2
1 Thanh Nhàn Hospital
2 Haiphong University of Medicine and Pharmacy

Main Article Content

Abstract

Objectives: To evaluate the results of laparoscopic for low rectal cancer by Schiessel.R type at Thanh Nhan hospital from June 2017 to March 2022. Research method: descriptive, prospective longitudinal follow-up, no control. Results and Discussion: Research has 68 cases of low rectal cancer that have been performed laparoscopically. Male/female ratio = 1,125, mean age was 65.8 ± 10.4, CI95% is 63.3-68.3 years old. Clinical symptoms are varied and non-specific. Cancer marker CEA increased at 67.7%; CA 199 increased in 22.1% of cases. The percentage of tumors ≤ ½ circumference accounted for the majority of 77.9%, MSCT and MRI were able to determine the tumor distance to the anal margin similar to those determined in surgery. The average number of dredged lymph nodes was 15.2 ± 2.5. Colon reconstruction in 85.3% of cases, the average Wexner score after surgery was 7.01 ± 1.14. The rate of recurrence and metastasis was 10.3%; The probability of overall survival at 48 months was 87.2%. Conclusion: laparoscopic for low rectal cancer by Schiessel.R types is feasible and beneficial.

Article Details

Keywords

laparoscopic, rectum, lymph node, pouch, Schiessel.R

References

1. Trương Vĩnh Quý “Đánh giá kết quả điều trị triệt căn ung thư trực tràng thấp bằng phẫu thuật nội soi bảo tồn cơ thắt’, luận án tiến sĩ, Đại học Y Huế - 2018
2. Nguyễn Hoàng Minh “Di căn hạch trong ung thư trực tràng đối chiếu với mô bệnh học và MRI”, luận án tiến sĩ, Đại học Y Hà Nội – 2017
3. Trần Anh Cường “Đặc điểm di căn hạch và kết quả phẫu thuật ung thư trực tràng tại bệnh viện K”, luận án tiến sĩ, Đại học Y Hà Nội – 2017
4. Akasu T, Takawa M, Yamamoto S. (2008) “Intersphincteric resection for very low rectal adenocarcinoma: Univariate and Multivariate analyses of risk factors for recurrence”. Annals of surgical oncology; 15(10): 2668-2676.
5. Portier G, Ghouti L, Kirzin S. (2017) “Oncological outcome of the ultra-low coloanal anastomosis with and without intersphicteric resection for low rectal adenocarcinoma”. British journal of surgery; 94: 341-435.
6. Rullier E, Cunha A. SA, Couderc P. (2013) “Laparoscopic intersphincteric resection with coloplasty and conoanal anastomosis for mid and low rectal cancer”. British journal of surgery. 90: 445-451.
7. Yamada K, Ogata S, Saiki Y. (2007) “Functional results of intersphincteric resection for low rectal cancer”. British journal of surgery; 94: 1272-1277.
8. Calin Molnar, Butiurca Vlad-Olimpiu. (2018) “Survival and functional and oncological outcomes following intersphincteric resection for low rectal cancer: short-term results”. Journal of International Medical Research, Vol. 46(4) 1617–1625