KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ UNG THƯ BIỂU MÔ TRỰC TRÀNG TẠI BỆNH VIỆN ĐA KHOA TỈNH NAM ĐỊNH GIAI ĐOẠN 2018-2022

Abstract

Objective: To evaluate the treatment results of patients with rectal carcinoma undergoing surgery at Nam Dinh Provincial General Hospital in the period January 2018 - December 2022. Study design: A cross-sectional study collecting retrospective data was conducted for this study. Participants were 58 rectal cancer patients treated with rectal surgery at Nam Dinh Provincial General Hospital from January 2018 to December 2022. Clinical, paraclinical information, surgical methods, short and long-term outcomes were collected. Research results: The mean surgery time was 140.26 ± 19.44 minutes, the mean time of flatus return was 2.72 ± 0.67 days, and the mean hospital stay after surgery was 12.19 ± 3.2 days. The rate of complications after surgery was quite high: 27.5%, of which surgical wound infection accounted for 17.2%. Early surgical outcomes: 88.2% good, 11.8% moderate and 3.4% poor results. The mean daily defecation frequency improved significantly, gradually decreasing at 3, 6 and 12 months after surgery: 3.4 ± 0.8 times, 2.8 ± 0.6 times and 2.2 ± 0.6 times, respectively. The recurrence rate was 9.1%, the death rate was 12.7%. The overall survival time: 89% after 2 years, 79% after 3 years, and 79% after 5 years is 79%. The disease-free survival time was 86% after 2 years, 75% after 3 years and 54% after 5 years. Conclusion: The study shows good results in treating rectal cancer in the hospital, as well as prolonging survival time for patients with rectal cancer.