KẾT QUẢ PHẪU THUẬT CẮT ĐOẠN ĐIỀU TRỊ UNG THƯ BIỂU MÔ TRỰC TRÀNG TẠI BỆNH VIỆN UNG BƯỚU TỈNH THANH HOÁ

Abstract

Research objective: Evaluate the early results of resection surgery to treat rectal carcinoma at Thanh Hoa Provincial Oncology Hospital. Research methods: Cross-sectional, retrospective description of all rectal carcinoma patients undergoing segmental surgery at Thanh Hoa province oncology hospital from January 2021 to June 2023. Results: Including 75 patients (36 men, 39 women), average age 66.16 ± 11.7 years. The main common symptoms are abdominal pain in the lower abdomen and bloody mucus stools. The tumor location is 10.05 ± 2.13 cm (5 - 14 cm) from the anal edge. Most tumors are ulcerative (65.3%). All patients underwent rectal resection and anastomosis during surgery, including 16 patients who underwent laparoscopic surgery (26.8%). The average surgery time for the open surgery group is 125.1 ± 21.8, the laparoscopic surgery group is 135 ± 18.1. The number of lymph nodes removed was 16.7 ± 7.1, of which the number of positive lymph nodes was 1.8 ± 3.36. The average postoperative hospital stay in the open surgery and laparoscopic surgery groups were 10.3±1.8 and 8.2±1.8 days, respectively. After surgery, 1 patient had an anastomotic leak (1.3%), 5 patients had surgical wound infection (6.7%), and 1 patient had urinary dysfunction (1.3%). There were no cases of intraoperative complications or deaths. Conclusion: Resection surgery to treat rectal carcinoma and making anastomosis immediately during surgery is a safe and effective treatment method, ensuring oncological principles, and at the same time has a low rate of complications.