Nghiên cứu ứng dụng nội soi 3D trong phẫu thuật cắt đại tràng do ung thư

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Tác giả: Như Hiệp Phạm, Đình Quốc Dũng Phan

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Phẫu thuật nội soi và Nội soi Việt Nam 2020

Mô tả vật lý: 28-32

Bộ sưu tập: Metadata

ID: 407315

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30 bệnh nhân được chẩn đoán ung thư đại tràng đã được điều trị bằng phương pháp cắt cổ nội soi 3D từ tháng 1/2018 đến tháng 6/2019, tại bệnh viện Trung ương Huế. Cơ sở dữ liệu về các khía cạnh đặc điểm chung cũng như lâm sàng và cận lâm sàng và kết quả sớm, theo dõi ngắn đã được thu thập. Kết quả: Tỷ lệ nam nữ là 1,3 / 1, độ tuổi trung bình là 59,6 tuổi. Tỷ lệ cắt phải, cắt ngang, cắt trái và cắt đại tràng là 40%
3,3%
20%
36,7%, không xảy ra biến chứng trong quá trình phẫu thuật. Biến chứng sau phẫu thuật được quan sát thấy trong 2 trường hợp (10%), bao gồm một nhiễm trùng vết mổ và một lỗ nối sớm. Thời gian hoạt động trung bình là 149,7 phút. Tỷ lệ mất máu trung bình dưới 100ml là 76,7%. Thời gian nhập viện trung bình là 9,4 ngày. Tổng số hạch thu hoạch được là 450. Theo dõi trong 3 tháng sau mổ cho 24/30 bệnh nhân, không thấy tử vong và tái phát tại chỗ hoặc di căn. Kết luận: Hình ảnh ba chiều (3D) trong phẫu thuật cắt nội soi ung thư ruột kết an toàn và hiệu quả, có ưu điểm vượt trội về hình ảnh ba chiều sâu 3D, nên được áp dụng rộng rãi như một bước đệm cho phẫu thuật robot trong tương lai., Tóm tắt tiếng anh, 30 patients diagnosed the colon cancer were treated by 3D in laparoscopic colectomy from January 2018 to June 2019, at Hue Central hospital. The database on general as well as clinical and para-clinical characteristic aspects and early outcomes, short follow up were collected. Results: Male and female ratio was 1,3/1, average age was 59,6 years old. Rate of right, transverse, left and sigma colectomy was 40%
3,3%
20%
36,7%, no complication occurred during the operation. The post-operative complication observed in 2 cases (10%) including one surgical site infection and one early anastomotic leak. The mean operative time was 149,7 minutes. Average blood loss lower than 100ml was in 76,7%. The mean hospitalization was 9.4 days. Total lympho node harvested 450. Follow up in 3 months after the operation for 24/30 patients, no death and local recurrence or metastasis were found. Conclusion: Three dimenssional (3D) imaging in laparoscopic colectomy for colon cancer were safe and effective, has remarkable advantages in the depth holograms of 3D, it should be widely applied as a step for future robotic surgery.

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