ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT VÉT HẠCH MẠC TREO TRÀNG DƯỚI BẢO TỒN ĐỘNG MẠCH ĐẠI TRÀNG TRÁI ĐIỀU TRỊ UNG THƯ ĐẠI TRÀNG SIGMA - TRỰC TRÀNG CAO TẠI BỆNH VIỆN K

Abstract

Objective: Evaluating results of inferior mesenteric artery lymphadenectomy preserving left colic artery treatment of sigmoid colon cancer and high rectal cancer in K Hospital. Subject and method: A prospective study included 48 patients, all patients with pathologically confirmed Sigmoid colon cancer or rectal cancer who underwent inferior mesenteric artery lymphadenectomy preserving left colic artery. Result: The mean age of patients was 59,7 years old, the male rate was 52,1% and the female rate 47,9%. 52.1% of patients with tumors invasive more than half the circumference on endoscopy. Postoperative pathology T1 10.4%, T2 16.7%, T3 12.5%, T4a 56.2% and T4b 4.2%. The average number of lymphonode is 15.0; N1 41.7% and N0 58.3%. The mean operative time was 96,5 minutes. The average hospital stay was 7,3 days. All patients in the study did not experience complications during surgery. No patient died within the first 30 days after surgery. There were no cases of post-operative bleeding, anastomotic leak, or post-operative obstruction. There were no cases of death or reoperation within 30 days after surgery. After an average follow-up period of 12.1 months, no cases of recurrence or death were detected. Conclusion: inferior mesenteric artery lymphadenectomy preserving left colic artery treatment of sigmoid colon cancer and high rectal cancer is a simple technique, easy to perform, and initially gives good surgical results; low accident and complication rates as well as good oncological results