KẾT QUẢ ĐIỀU TRỊ UNG THƯ BIỂU MÔ DẠ DÀY BẰNG PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT DẠ DÀY, NẠO VÉT HẠCH D2, LẬP LẠI LƯU THÔNG TIÊU HÓA KIỂU CHỮ Y TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: To describe the clinical, paraclinical, pathology and early results of total laparaoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction for carcinoma of the stomach from June 2021 to June 2023 at Hanoi Medical University Hospital. Method: A retrospective descriptive study on 61 patients with gastric carcinoma who underwent total laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction. Results and discussion: The average age was 63.82 ± 10.4 years (31- 83 years). 70.05% was male. Common reasons for coming to the doctor are epigastric pain (85.25%) and weight loss (40.98%). The most common tumor is in the pyloric antrum (77.05%). The average tumor size was 3.23 ± 1.91 cm The average surgery time is 191.64 ± 45.37 minutes (100 - 360 minutes) depending on the physical condition, level of invasion and anastomosis technique of making anastomosis). No complications were recorded during surgery. The average postoperative hospital stay (SM) is 7.90 ± 3.12 days (4 - 21 days). The rate of complications after surgery was 13.11%, of which complications of acute pancreatitis were the most common, with no cases of death during or after surgery. Histopathological results were mainly adenocarcinoma (77.05%). The average number of lymph nodes dredged was 30.84 lymph nodes, the average number of metastatic lymph nodes was 3.39 ± 4.70 lymph nodes. Conclusions: total laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction is a safe and effective method in the treatment of gastric carcinoma.