ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT CẤP CỨU NỐI NGAY MỘT THÌ ĐIỀU TRỊ TẮC RUỘT DO UNG THƯ NỬA TRÁI ĐẠI TRỰC TRÀNG TẠI BỆNH VIỆN K

Abstract

Objectives: To evaluate early results of one-stage anastomosis emergency surgery for bowel obstruction due to left colon cancer and upper rectal cancer. Subjects and methods: prospective description with 42 patients was done one-stage anastomosis emergency surgery in treatment of bowel obstruction due to left side colorectal cancer from January 2018 to December 2020 at K hospital. Results: Average age 56.2 ± 12.5 (36-76) years; Female 20 (47,6%), Male 22 (52,4%). Reasons for admission to the hospital with abdominal pain (100%); The most common symptoms were: abdominal pain (100%), abdominal swolen (100%), inability to pass gas (97.1%), abdominal radiograph with air-liquid level (100%). Preoperative histopathology was 100% of adenocarcinoma. 100% abdominal CT did not have distant metastases. Proximal margin on average 10.2 cm; distal marginon average 7.4cm; the mean harvested lymph nodes was 14.3. Mean operated time was 154 minutes; average time of gas was 4.3 days; postoperative hospital stay was 14.1 days. There were 2 cases of leakage (4.7%) with stable medical treatment; No patient was re-operated and no patient died. Conclusion: One-stageanastomosis emergency surgery to treat bowel obstruction due to left side colorectal cancer was feasible and safe both in surgery and oncology with selected patients.