EVALUATE RESULTS OF SURGICAL GASTECTOMY WITH LYMPHO NODES DISSECTION FOR GASTRIC CANCER TREATMENT AT NGHE AN ONCOLOGY HOSPITAL

Đình Hiếu Nguyễn , Hoàng Quân Nguyễn , Duy Tuấn Lê, Văn Bình Phạm

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Abstract

Introduction: So far, surgical treatment with gastrectomy and lymphadenectomy of regional lymph nodes has played a decisive role in the treatment of gastric cancer. Objective: From 10/2020 to 10/2023. To evaluate the results of surgical treatment of gastric cancer at Surgery, Nghe An Oncology Hospital, period from 10/2020 to 10/2023. Methods: Patients who were diagnosed of having adenocarcinoma  base on pathologic histology. Results: 225 patients were treated with surgical treatment of gastric cancer. The mean age was 55,3. Male/female: 1,71. Surgical techniques: 185 cases are gastrectomy with lymph nodes dissection and 40 cases are total gastrectomy with lymph nodes dissection. Tumors often appear in 1/3 below with 120 cases. The total number of lymph nodes is 2327, with 310 nodal metastasis, accounting for 13.3%. The Finstere surgical methods is main with 59.5%, 19.1% with Roux en-Y method and  15.2% with machine connections. Conclusion: Surgical treatment of gastric cancer through gastrectomy with lymph nodes dissection can be deployed in lower level hospitals and take a good results.

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References

1. Trịnh Hồng Sơn (2001). Nghiên cứu nạo vét hạch trong điều trị ung thư dạ dày. Luận án Tiến sĩ Y học, Trường Đại học Y Hà Nội.
2. Nguyễn Đức Huân (2006). Nghiên cứu đặc điểm lâm sàng, mô bệnh học và hóa mô miễn dịch của ung thư dạ dày tại bệnh viện K. Luận văn Bác sỹ nội trú, Đại học Y Hà Nội, Hà Nội.
3. Gennari L, Bozzetti F, Bonfanti G, et al. (1986). Subtotal versus total gastrectomy for cancer of the lower two-thirds of the stomach: a new approach to an old problem. Br J Surg. 73(7):534-538.
4. Roh C., Choi S., Seo W., et al. (2021). Incidence and treatment outcomes of leakage after gastrectomy for gastric cancer: Experience of 14,075 patients from a large volume centre. European journal of surgical oncology. Feb 25
5. Nguyễn Phúc Kiên (2015). Đánh giá kết quả phẫu thuật ung thư dạ dày sớm tại Bệnh viện Việt Đức. Luận văn bác sĩ chuyên khoa cấp II, Trường đại học Y Hà Nội.
6. Andreollo NA, Lopes LR, Coelho Neto J de S (2011). Postoperative complications after total gastrectomy in the gastric cancer: analysis of 300 patients. ABCD Arq Bras Cir Dig São Paulo. 24:126-130.
7. Sano T., Coit D. G., Kim H. H. et al. (2017). Proposal of a new stage grouping of gastric cancer for TNM classification: International Gastric Cancer Association staging project. Gastric cancer, 20, 217-225.
8. Kikuchi S, Sakasibara Y, Sakuramuto S et al (2001). Recent results in the surgical treatment of gastric of gastric cancer according to the Japanese and TMN classification. Anticancer Res 48 (1): 1227-1230.