MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN UNG THƯ ĐẠI TRÀNG BÊN PHẢI ĐƯỢC PHẪU THUẬT CẮT ĐẠI TRÀNG NỘI SOI

Abstract

Objectives: To determine the clinical and subclinical characteristics of patients with right colon cancer who must undergo laparoscopic colectomy and some related factors. Subjects and methods: Prospective study on 60 colon adenocarcinoma patients who had to undergo laparoscopic colectomy during the period from 1.2016 to 12.2021. Assess the rate of symptoms, the relationship between symptoms, no clinical symptoms with tumor invasion, cancer stage. Results: Mean age 54.3, the rate of symptoms of abdominal pain, digestive disorders, bloody stools, fatigue, weight loss, incomplete intestinal obstruction and Hemoglobin <10g/dl respectively: 81.7%, 53.3%, 26.7%, 13.3%, 10% and 35%. There were 5 patients (8.3%) without clinical symptoms, diagnosed by screening endoscopy. The number of asymptomatic patients with pathology results in stage I is 80%, stage II is 20%, while only 50% of patients have symptoms in stages I, II; This difference is significant with P=0.005. Group of symptomatic patients with tumor at T3, T4a was significantly higher than in the asymptomatic group, P = 0.02. There were a total of 9 patients with metastatic disease in the group of symptomatic patients, but the difference was not significant (P=1). Conclusion: Patients with non-clinical right colorectal cancer are often at an early stage when compared with symptomatic patients and the difference is statistically significant.