Kết quả phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn, phục hồi lưu thông tiêu hóa kiểu Finsterer điều trị ung thư dạ dày

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Ngọc Cương Lương, Anh Tuấn Nguyễn, Văn Dư Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học lâm sàng Bệnh viện Trung ương Huế, 2023

Mô tả vật lý: tr.102-106

Bộ sưu tập: Báo, Tạp chí

ID: 341692

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Đánh giá kết quả sớm của phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn, phục hồi lưu thông tiêu hóa theo kiểu Finterer tại Bệnh viện Trung ương Quân đội 108. Đối tượng, pháp nghiên: Nghiên cứu tiến cứu. Gồm 108 trường hợp ung thư dạ dày được phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn, phục hồi lưu thông tiêu hóa theo kiểu Finterer, tại Bệnh viện Trung ương Quân đội 108 từ 01/2019 đến 11/2020. Kết quả: Tuổi trung bình là 59,49 ± 12,10 (26 - 86 tuổi)
BMI trung bình 20,96 ± 2,31. Giai đoạn bệnh: giai đoạn IA (33,3%)
giai đoạn IB (13,0%)
giai đoạn IIA (11,1%)
giai đoạn IIB (16,7%)
giai đoạn IIIA (15,7%)
giai đoạn IIIB (9,3%)
giai đoạn IIIC (0,9%). Số hạch vét được trung bình: 27,15 ± 10,39 hạch. Thời gian phẫu thuật trung bình: 167,64 ± 42,99 phút
thời gian trung tiện trung bình: 3,38 ± 1,25 ngày
thời gian nằm viện trung bình: 8,68 ± 4,12 ngày. Biến chứng sớm sau phẫu thuật 6 (5,6%) trường hợp, trong đó: rò tiêu hóa 02 (1,9%)
tắc ruột sớm 04 (3,7%)
không có trường hợp nào tử vong sau sau phẫu thuật. Biến chứng muộn 04 (3,7%) trường hợp trong đó: thoát vị nội 02 (1,9%)
rò dạ dày - đại tràng 01 (0,9%)
tắc ruột do bã thức ăn 01 (0,9%). Kết luận: Phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn, phục hồi lưu thông tiêu hóa theo kiểu Finsterer có thể thực hiện an toàn và hiệu quả trong điều trị ung thư dạ dày. Từ khóa: Phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn, ung thư dạ dày. ABSTRACT Reults of totally laparoscopic distalgastrectomy, Finsterer - style restoration ofgastrointestinal circulation in gastric cancer patients Luong Ngoc Cuong1, Nguyen Anh Tuan2, Nguyen Van Du2 Objective: To evaluate of early results of totally laparoscopic distal gastrectomy, Finterer - style restoration of gastrointestinal circulation at 108 Military Central Hospital. Methods: This is a prospective and descriptive study. For this study 108 cases of gastric cancer diagnosed and totally laparoscopic distal gastrectomy, Finterer - style restoration of gastrointestinal circulation, at 108 Military Central Hospital from January 2019 to November 2020 Results: The mean age was 59.49 ± 12.10 (26 - 86 years old)
Mean BMI was 20,96 ± 2.31. Disease stage: stage IA (33.3%)
stage IB (13.0%)
stage IIA (11.1%)
stage IIB (16.7%)
stage IIIA (15.7%)
stage IIIB (9.3%)
stage IIIC (0.9%). Number of haversted lymph nodes in average was 27.15 ± 10.39 nodes. Mean operative time was 167.64 ± 42.99 minutes. Mean time to first flatus was 3.38 ± 1.25 days. Mean postoperative hospital stay was 8.68 ± 4.12 days. Early postoperative complication 04 (5,6 %) cases including: 02 (1.9%) gastroenteric fistula, 04 (3.7%) cases of intestinal obstruction and none of death. Late complications 04 (3.7%) cases in which: 02 (1.9%) internal hernia, 01 (0.9%) gastro - colic fistula, 01 (0.9%) intestinal obstruction due to food residue. Conclusion: Totally laparoscopic distal gastrectomy, Finsterer - style restoration of gastrointestinal circulation can be performed safely and effectively in the treatment of gastric cancer.

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