EVALUATION OF THE RERULTS OF LAPAROSCOPIC SURGERY COMBINED WITH CHEMOTHERAPY IN THE TREATMENT OF GASTRIC CARCINOMA

Quốc Ái Đặng 1,, Lê Huy Trịnh 1
1 Hanoi medical university

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Abstract

Objectives: To evaluate the treatment outcome of gastric carcinoma in patients with a combination of laparoscopic gastrectomy and chemotherapy. Methods: This is a retrospective study on 75 gastric cancer patients, who were treated at Hanoi Medical University Hospital from January 2015 to December 2019. Results: The mean age of the study group was 57.9 ± 10.1 years old. Men accounted for the majority of the study at 65.3% and women were 34.7%. The main lesion site is the lower third of the stomach with 82.6%. Most tumors were on stage T3 with 74.7% and 69.3% of patients having lymph node metastasis. The average surgical time was 251.9 ± 44.6 minutes, the average blood loss was 98.8 ± 25.3 ml. In intraoperative complications was 5.3% and 8.0% was converted to open surgery due to large tumors or complications. The postoperative average time was 11.6 ± 2.6 days and 85.3% of postoperative patients received adjuvant therapy. The postoperative disease-free survival rate during the 3-year follow-up period was 86.7% and the estimated overall survival after surgery was 47.2±1.9 months. Conclusion: Laparoscopic gastrectomy for gastric carcinoma combined with chemotherapy has good results. Meet the treatment requirements in terms of early and long-term results after surgery.

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References

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