KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ UNG THƯ TRỰC TRÀNG TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ N ỘI GIAI ĐOẠN 2016-2020

Abstract

Objective: To evaluate the results of laparoscopic surgery for rectal cancer at Hanoi Medical University Hospital. Subjects and methods: a retrospective descriptive study with longitudinal follow-up on 69 patients diagnosed with rectal cancer undergoing laparoscopic surgery at Hanoi Medical University Hospital between 2016 and 2020. Results: Patients in stage III accounted for the largest proportion with 58%. There were 36.2% of patients applied rectal resection method, low anastomosis; 30.4% of patients were applied rectal resection method, high anastomosis. Miles surgery accounted for 11.6%. The mean surgical time was 140.2 ± 30.6. The number of cases of complications was 5 cases, accounting for 7.2%. The mean follow-up time was 38.9 months, the mortality rate was 13%. The recurrence rate was 17.4%. The mean disease-free survival time was 60.9 ± 2.9 months. The 5-year disease-free survival rate was 82.6%. The mean overall survival was 62.7 ± 2.8 months. The 5-year overall survival rate is 87%. Multivariate analysis showed that tumor invasiveness and CEA levels were independent prognostic factors for disease-free survival, tumor invasiveness was independent prognostic factors for survival. remaining whole. Conclusion: With the short-term and long-term results achieved, laparoscopic surgery for rectal cancer can continue to be performed if the patient's conditions are favorable and the surgeon is experienced.