Đánh giá kết quả phẫu thuật nội soi ung thư trực tràng tại Bệnh viện Đa khoa tỉnh Thái Bình=Assessment of the results of laparoscopic surgery for rectal cancer in Thai Binh province's General Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Mạnh Toàn Đỗ, Anh Minh Lê, Thái Phúc Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.168-174

Bộ sưu tập: Metadata

ID: 477717

Thêm vào giỏ

Laparoscopic surgery to treat rectal cancer has been indicated at Thai Binh Provincial General Hospital in recent years. The study evaluated the outcome of this surgery. Method: A cross-sectional descriptive study, 59 rectal cancer patients had laparoscopic surgery at Thai Binh Provincial General Hospital from January 2019 to June 2021. Record data on age, sex, tumor characteristics, cancer stage, operation time, complications and surgical complications
Survival rate, recurrence rate, survival time and quality of life after surgery. Result: 59 rectal cancer patients had laparoscopic surgery. The mean age was 65.7 years old. Male 44.1% and female 55.9%. High 35.6%
Middle 30.5% and 33.9%. Stage I, II and III are equivalent to 3.4
22.0% and 74.6%. 100% of patients are carcinoma. Rectal amputation 28.8%
anal sphincter preservation 71.2%. 100% colorectal anastomosis by stapler. The average surgery time was 199.3 minutes. complication rate was 1.7%
Fistula anastomosis 3.3%. The mean follow-up time after surgery was 17.8 months. The average number of bowel movements 1 year after surgery was 2.6 times. Decrease and loss of sexual function 45.5%. 78.0% good urinary function. The function of anal autonomy according to Kirwan standards I, II and III are equivalent 65.9
24.4 and 9.8%. Recurrence 6,8%. The survival rate is 94.9%. Overall and disease-free survival was 30.1 and 32.5 months. Conclusion: Laparoscopic of rectal cancer at Thai Binh Provincial General Hospital is a safe method with good result.Phẫu thuật nội soi điều trị ung thư trực tràng đã được triển khai tại Bệnh viện Đa khoa tỉnh Thái Bình trong vài năm gần đây. Nghiên cứu nhằm đánh giá kết quả của phẫu thuật này. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang 59 bệnh nhân ung thư trực tràng được phẫu thuật nội soi tại Bệnh viện Đa khoa tỉnh Thái Bình từ 1/2019 đến 6/2021. Ghi nhận các số liệu về tuổi, giới, đặc điểm khối u, giai đoạn bệnh
thời gian mổ, .tai biến và biến chứng phẫu thuật
Tỷ lệ sống còn, tỷ lệ tái phát, thời gian sống thêm sau mổ và chất lương cuộc sống sau mổ. Kết quả nghiên cứu: 59 bệnh nhân ung thư trực tràng được phẫu thuật nội soi. Tuổi trung bình là 65,7 tuổi. Nam 44,1% và nữ 55,9%. Ung thư 1/3 trên 35,6%
1/3 gữa 30,5%
1/3 dưới 33,9%. Giai đoạn I, II và III tương ứng là 3,4%
22,0% và 74,6%. 100% ung thư biểu mô tuyến. 71,2% PT bảo tồn cơ thắt
28,8% PT cắt cụt trực tràng. 100% thực hiện miệng nối đại trực tràng bằng máy nối. Thời gian mổ trung bình 199,3 phút có sự khác biết có ý nghĩa thống kê giũa 2 phương pháp mổ. Tai biến trong mổ 1,7%. Rò miệng nối 3,3%. Thời gian theo dõi trung bình sau mổ là 17,8 tháng. Số lần đại tiện trung bình 1 năm sau phẫu thuật là 2,6 lần/ngày. Giảm và mất chức năng tình dục 45,5%. 78,0% chức năng tiết niệu tốt. Chức năng tự chủ hậu môn theo tiêu chuẩn Kirwan I, II và III lần lượt là 65,9
24,4 và 9,8%. Tỷ lệ tái phát 6,8%. Tỷ lệ sống còn là 94,9%. Thời gian sống thêm không bệnh và toàn bộ theo Kapplan Meier là 30,1 và 32,5 tháng. Kết luận: Phẫu thuật nội soi điều trị ung thu trực tràng tại Bệnh viện đa khoa tỉnh Thái Bình cho kết quả tốt.

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