NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ VIÊM RUỘT THỪA TRÊN BỆNH NHÂN UNG THƯ

Abstract

Purpose: To describe clinical and paraclinical characteristics and evaluate results of surgery for appendicitis in cancer patients. Patients and method: A retrospective descriptive study of 145 cases of appendicitis patients with cancer who were operated in the National cancer hospital from 1/2017 to 12/2022. Results: The average age was 57,0 ± 14,9, male/female ratio was approximately 1/1. The most common cancers were colorectal cancer (24,1%), breast cancer, gastric cancer, and lung cancer. The most common symptoms were fever (62,0%) and abdominal pain (100%) which usually started at the umbilical region (48,3%). Patients who were operated within 12-24 hours accounted for the highest rate of 40,0%. The rate of appendicitis complications was 45,6%, of which 15,2% had appendicitis abscess and 30,4% peritonitis. Laparoscopic surgery was performed in 87,6% of cases. The rate of patients without postoperative complication was 97,9%, 89,7% of cases were discharged within 6 days after surgery. Conclusion: The proportion of cancer patients with appendicitis hospitalized late and appendicitis complications (abscess and peritonitis) was still high. Laparoscopic treatment of appendicitis in cancer patients can be performed successfully, safely, and effectively.