KẾT QUẢ BƯỚC ĐẦU ÁP DỤNG KỸ THUẬT LÀM MIỆNG NỐI BILLROTH 1 TRONG PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT BÁN PHẦN DƯỚI DẠ DÀY, VÉT HẠCH D2 ĐIỀU TRỊ UNG THƯ BIỂU MÔ TUYẾN DẠ DÀY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objective: To evaluate the initial results of applying the Billroth 1 anastomosis technique in totally laparoscopic distal gastrectomy with D2 lymphadenectomy for the treatment of adenocarcinoma of the lower stomach at Ha Noi Medical University Hospital. Method: A clinical intervention study was conducted on 12 patients who underwent totally laparoscopic distal gastrectomy with D2 lymphadenectomy and intracorporeal Billroth 1 anastomosis for adenocarcinoma of the lower stomach from April 2023 to August 2023 at Ha Noi Medical University Hospital. Results: The average age of the study group was 61.08 ± 10.84 years, with a gender distribution of 50% male and 50% female. The location of the tumor in the pylorus accounted for the highest proportion at 58.3%. The average operation time was 162.08 ± 26.5 minutes, with a maximum of 190 minutes and a minimum of 105 minutes. The average number of lymph nodes dissected was 24.5 ± 9.65 (with a maximum of 48 and a minimum of 16), of which the average number of metastatic lymph nodes was 0.5 ± 1.45. The average time for intracorporeal anastomosis was 19.27 ± 3.1 minutes (with a maximum of 25 minutes and a minimum of 15 minutes). The number of staplers used in the operation was 6, accounting for 91.7%, while 8.3% used 5 staplers. There was no anastomotic bleeding, anastomotic leakage, or anastomotic stenosis. The postoperative complications were classified according to Clavien-Dindo as follows: grade I: 1 (8.3%), grades II, III, and IV were 0%. The incidence of bile reflux was 16.6%. Conclusion: Totally laparoscopic distal gastrectomy with D2 lymphadenectomy and intracorporeal Billroth 1 anastomosis is safe and effective for the treatment of adenocarcinoma of the lower stomach.