KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT ĐOẠN TRỰC TRÀNG ĐIỀU TRỊ UNG THƯ BIỂU MÔ TRỰC TRÀNG TẠI BỆNH VIỆN THANH NHÀN

Abstract

Background: Rectal cancer is a common malignancy of the gastrointestinal tract. The main treatment for rectal cancer is still radical surgery combined with chemotherapy and radiation. We carried out this study to evaluate the results of laparoscopic rectal resection for colorectal cancer at Thanh Nhan Hospital. Subjects and methods: This is a retrospective study of 94 rectal carcinoma patients undergoing laparoscopic rectal resection and lymph node dissection at Thanh Nhan hospital from January 2018 to June 2022. Results: The average surgical time was 200 ± 44.2 minutes. The rate of ligation of the inferior mesenteric artery close to the base was 90.4%. The rate of ileostomy to protect the anastomosis was 27.7%. 97.9% of joints use connectors. The average number of dredged lymph nodes: 14 ± 8.95 nodes. Surgery has guaranteed oncology: 100% of immediate biopsies are negative, 100% of post-surgery section tests have no malignant cells. The postoperative hospital stay was 9.0 days, defecation after 3.0 days, oral nutrition after 4.5 days, abdominal drainage after 7.0 days. Complications: wound infection 3.2%, anastomosis fistula 1.1%, anastomosis bleeding 1.1%. There was no mortality in the postoperative period. Distant results after surgery monitored 79(84,0%) patients. There was 17 deaths accounted for 18.0%. Rate of recurrence, metastasis is 12.5%, no local recurrence. The mean survival time after surgery of the study group was 43.67 ± 2.15 months. The 1-year survival rate is 97.6%, the 3-year survival rate is 72.6%, the 5-year survival rate is 40.2%. Conclusion: Laparoscopic proctectomy for rectal carcinoma is a safe operation, with low rates of complications and complications, good postoperative recovery, and effective oncology.