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Date Published: 23/01/2024
Abstract Views: 167
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DOI: https://doi.org/10.51298/vmj.v534i2.8214
Issue
Vol. 534 No. 2 (2024)
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Các bài báo
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Nguyễn, V. T. ., & Phạm , V. N. (2024). RECURRENCE AND CHEMORADIOTHERAPY AFTER LAPAROSCOPIC MILES OPERATION WITH EXTRA-LEVATOR PERINEAL EXCICION IN PRONE POSITION IN TREATMENT OF LOW RECTAL CANCER IN CAN THO CITY. Vietnam Medical Journal, 534(2). https://doi.org/10.51298/vmj.v534i2.8214

RECURRENCE AND CHEMORADIOTHERAPY AFTER LAPAROSCOPIC MILES OPERATION WITH EXTRA-LEVATOR PERINEAL EXCICION IN PRONE POSITION IN TREATMENT OF LOW RECTAL CANCER IN CAN THO CITY

Văn Tuấn Nguyễn, Văn Năng Phạm

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Abstract

Background: Laparoscopic Miles operation with extra-levator perineal excision in prone position is applied in many major surgical centers around the world with high feasibility and safety. Objective: To determine the recurrence rate and chemoradiotherapy after laparoscopic Miles operation with extra-levator perineal excision in prone position in the treatment of low rectal cancer in Can Tho City. Materials and methods: A prospective study, describing a series of cases on 45 patients with low rectal cancer stages I, II, III, in Can Tho City from December 2018 to June 2023. Results: With an average follow-up period of 22 months (6 - 54) months, the study recorded that the rate of patients with postoperative chemoradiotherapy was 20 cases, accounted for 44.4%. The overall recurrence rate and metastasis after surgery was 13.3%, local recurrence was 6.6%, distant metastasis was 6.6%; cases with circumferential resection margin (+) recurred in 30.8%, other with circumferential resection margin (–) recurred in 6.3%. There were 2 cases of stage III:T3 cancer that died after 24 and 36 months of surgery. Conclusion: Laparoscopic Miles operation with extra-levator perineal excision in prone position in the treatment of low rectal cancer has a fairly low recurrence rate. One patient recurs as early as 12 months and more than 40% of patients need chemoradiotherapy to improve treatment effectiveness.

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References

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