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Date Published: 07/08/2023
Abstract Views: 360
Views PDF: 194
DOI: https://doi.org/10.51298/vmj.v528i2.6066
Issue
Vol. 528 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. T., Phạm, N. N. Đô, & Hồ, C. T. (2023). EVALUATION OF THE RESULTS OF RADICAL GASTRECTOMY FOR GASTRIC CANCER TREATMENT AT MILITARY HOSPITAL 103. Vietnam Medical Journal, 528(2). https://doi.org/10.51298/vmj.v528i2.6066

EVALUATION OF THE RESULTS OF RADICAL GASTRECTOMY FOR GASTRIC CANCER TREATMENT AT MILITARY HOSPITAL 103

Văn Tiệp Nguyễn1,, Nguyễn Nghĩa Đô Phạm1, Chí Thanh Hồ1
1 103 Military Hospital

Main Article Content

Abstract

Objectives: To review some clinical and sub-clinical characteristics and evaluate the results of radical gastrectomy for gastric cancer treatment. Patients and research methods: a retrospective, cross-sectional study of 108 patients undergoing radical gastrectomy for gastric cancer from February 2018 to June 2021 at Military Hospital 103. Results: There were 108 patients undergoing radical gastrectomy: The mean age was 61.8 ± 12.1 years (23 - 85), male accounted for 75.9%, female accounted for 24.1%. ASA= 2 (63.9%), ASA = 3 (36.1%). Stage IB, IIA, IIB, IIIA, IIIB, IIIC were 20.4%, respectively; 18.5%; 21.3%; 11.1%; 16.7%; 12.0%. Cell type: tubular adenocarcinoma: 84.3%; signet ring cell carcinoma: 9.2%, mucinous adenocarcinoma: 6.5%. Technique: sub-total gastrectomy 92,6%, total gastrectomy 7.4%; Roux-en-Y: 79.6%, Polya 8.3%, Pean 12.1%. The average number of dissected lymph nodes was 27.2 ± 8.2 nodes (14 -63). Postoperative complications: wound infection: 4.6%; duodenal fistula 1.9%, small bowel obstruction 1.9%; intra-abdominal bleeding 0.9%. Average hospital stay after surgery 7.2 ± 2.3 days (7-18). The mean additional survival time after surgery was 44.8 ± 3.5 months. Projected disease-free survival rates after 1 year, 2 years, 3 years, 4 years, respectively: 96.0%; 80.2%; 73.3%; 57.4%. Assess quality of life after surgery with Spitzer scale: 5 - 6 points; 7 - 8 points; 9 - 10 points respectively: 18.5%; 39.8%; 41.7%. Conclusion: Radical gastrectomy is an effective and preferred method of gastric cancer treatment, with positive surgical results with low complication rate, early postoperative recovery time, and better recovery time. Longer postoperative survival time for patients.

Article Details

Keywords

radical gastrectomy, gastric cancer, radical gastrectomy

References

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