KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ UNG THƯ BIỂU MÔ TRỰC TRÀNG 1/3 DƯỚI TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: Describe the clinical and paraclinical characteristics of patients with lower 1/3 rectal carcinoma undergoing laparoscopic surgery at Viet Duc Friendly Hospital from January 2017 to December 2022. Evaluate the results of laparoscopic surgery to treat lower 1/3 rectal carcinoma in the above group of patients. Method: Retrospective cross-sectional description of all patients diagnosed with lower third rectal cancer and treated with laparoscopic surgery at Viet Duc Friendly Hospital from January 2017 to December 2022. Results: Including 51 patients (26 women and 22 men), average age was 58.25 ± 13.8 years. Patients were treated with endoscopic surgery, including low/very low endoscopic anastomotic surgery: 27.5%; Colon-anal anastomosis: 17.6%; Rectal amputation: 54.9%. 61.4% of patients with a tumor location less than 5cm from the anal verge were assessed via endoscopy and indicated rectal amputation. 71.4% of patients with tumor location 5cm or more from the anal verge through rectal examination were indicated for low/very low anastomosis. 100% of patients undergoing colon-anal anastomosis surgery received a protective ileostomy, 85.7% of patients undergoing low/very low anastomosis surgery received a protective ileostomy. The average hospital stay was 11.6 ± 4.1 days. Postoperative complications occurred in 5 patients (9.8%), including 4 cases of surgical wound infection and 1 case of anastomotic leakage. Overall survival time calculated according to Kaplan Meier is 65.3 ± 4.3 months. 15.6% relapsed. Average time to detect recurrence was 30.6 ± 17.6 months. Conclusions: Lower third rectal cancer is common in middle age. For tumors under 5 cm, sphincter-preserving surgery can be performed while still ensuring oncology as well as survival time after surgery.