Phẫu thuật bảo tồn hậu môn điều trị ung thư trực tràng thấp tại bệnh viện ung bướu Tp.HCM

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Tác giả: Hung Cuong Pham

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Journal of Clinical Medicine – Hue Central Hospital, 2020

Mô tả vật lý: tr.71-77

Bộ sưu tập: Metadata

ID: 379304

Thêm vào giỏ Liên kết toàn văn

Mục đích: Phân tích các thay đổi về điều trị ung thư trực tràng thấp bằng các phẫu thuật bảo tồn hậu môn tại bệnh viện Ung Bướu TPHCM trong 15 năm qua (2004-2019). Bệnh nhân và phương pháp: Hồi cứu hồ sơ 17 trường hợp ung thư trực tràng thấp loại carcinôm tuyến được điều trị tại Khoa Ngoại 2, Bệnh viện Ung Bướu TP HCM từ 01/2019 đến 06/2019. So sánh với các bệnh nhân ung thư trực tràng thấp được điều trị phẫu thuật tại Bệnh viện Ung Bướu TPHCM 01/2000- 12/2004. Điều trị ung thư trực tràng thấp bằng các phẫu thuật bảo tồn hậu môn tại bệnh viện Ung Bướu TPHCM trong 15 năm qua (2004-2019) đã tăng đáng kể, tương tự với xu thế của thế giới.Purpose: To analyse changes in performing sphincter-saving resection procedures for low rectal cancerin HCMC Oncology Hospital in the last 15 years (2004-2019).Patients and Methods: Medical records of 17 cases of low rectal carcinoma operated on from Januarythrough Juin, 2019 in Surgery Department No 2, HCMC Oncology Hospital were studied retrospectively.Data were compared to that of cases of low rectal carcinoma also operated on in HCMC Oncology Hospitalfrom January, 2000 through December, 2004 (2004 group).Results: Compared with 2004 group, the sphincter-saving resection rate significantly increased (53%vs 4%, p<
0.001)
although there were higher proportions of men (77% vs 36%, p=0.003) and of early stagepatients (29% stage I vs 4%, p<
0.001). + Sphincter-saving resection procedures were performed for 53% low rectal cancer patients (95% CI:28-77%).+ All patients with tumors more than 3cm from the anal verge were operated on with sphincter-savingresection procedures.Conclusion: There was a significant increment of sphincter-saving resection for low rectal cancer inHCMC Oncology Hospital in the last 15 years (2004-2019). It was not different from worldwide trends.

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