BIẾN CHỨNG SAU PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT BÁN PHẦN CỰC DƯỚI DẠ DÀY, NẠO VÉT HẠCH D2, LẬP LẠI LƯU THÔNG TIÊU HÓA KIỂU CHỮ Y ĐIỀU TRỊ UNG THƯ BIỂU MÔ DẠ DÀY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: Evaluate complications after total laparoscopic surgery to treat gastric carcinoma and determine the relationship with some risk factors. Method: Retrospective review of 61 patients with gastric carcinoma who underwent total laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction at the Department of General Surgery, Hà Nội Medical University from June 2021 to July 2023. Results and discussion: The overall rate of postoperative complications in our study was 13.11%. Of these, 3 cases of post-operative bleeding were recorded, including: 2 cases of intra-abdominal bleeding for which emergency surgery was prescribed to stop the bleeding and 1 case for anastomosis bleeding for which endoscopy was prescribed for hemostasis. There were 4 cases of acute pancreatitis and 1 case of postoperative lymphatic leakage, which were treated stably with medical treatment. In addition, no cases of surgical wound infection, fistula, anastomosis, or duodenal apex were recorded after surgery. The mortality rate during and after surgery (30 days from hospital discharge) is 0%. Improving the patient's physical condition before as well as controlling systemic diseases before surgery contributes significantly to reducing the rate of complications after surgery. The Y-style method of restoring digestive circulation helps improve patients' lives after surgery better than traditional methods. Conclusions: Total laparoscopic distal gastrectomy with D2 lymphadenectomy followed by intracorporelal Roux en Y recontraction is a safe and effective method to help reduce the rate of postoperative complications