KẾT QUẢ BƯỚC ĐẦU ÁP DỤNG ĐA MÔ THỨC TRONG ĐIỀU TRỊ UNG THƯ TRỰC TRÀNG Ở NHỮNG BỆNH NHÂN CÓ PHẪU THUẬT NỘI SOI CẮT TRỰC TRÀNG BẢO TỒN CƠ THẮT TẠI BỆNH VIỆN E

Abstract

Objective: Evaluation of the results of applying multimodality in the treatment of rectal cancer in the group of patients undergoing sphincter-preserving laparoscopic proctectomy at E hospital. Subjects and methods: This is a retrospective descriptive study on a group of patients diagnosed with rectal cancer and treated by laparoscopic colorectal resection with lymphadenectomy at the Department of General Surgery – E Hospital in the period from May 2021 to November 2022. Results:The total number of patients in the study was 42 patients including 69% men and 31% women, with a mean age of 65.07 ± 11.2 years. The average operative time was 247.7 ± 46.5 minutes. The mean intraoperative blood loss was 27.3 ± 8.4 ml. Time for re-feeding after surgery is 5.3 ± 1.4 days. Postoperative defecation time 5.9 ± 1.3 days. There were no complications during surgery, complications of anastomosis were encountered in 3 cases (7.1%), intra-abdominal bleeding in 1 case (2.4%), pneumonia in 4 cases (9.5%). wound infection 6 cases (14.3%), intestinal obstruction 2 cases (4.8%), urinary retention after surgery 1 cases (2.4%). The mean postoperative time was 12.7 ± 3.8 days. Conclusion: Laparoscopic surgery for rectal cancer at E Hospital is a safe method with few of intra-operation accident and post-complications.