Kết quả phẫu thuật nội soi cắt bán phần xa dạ dày nạo vét hạch D2 phục hồi lưu thông bằng miệng nối Delta shaped điều trị ung thư dạ dày tại Bệnh viện Hữu Nghị Đa khoa Nghệ An=Results of laparoscopic distal gastrectomy D2 lymph node dissection with the delta shaped anastomosis for treatment of gastric cancer at Nghe An Friendship General Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Chiến Đinh, Văn Hương Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.112-119

Bộ sưu tập: Metadata

ID: 477973

Thêm vào giỏ

Nghiên cứu nhằm đánh giá kết quả Kết quả phẫu thuật nội soi cắt bán phần xa dạ dày dày nạo vét hạch D2 phục hồi lưu thông bằng miệng nối Delta-shaped trong điều trị ung thư dạ dày. Phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu, các bệnh nhân được phẫu thuật nội soi cắt bán phần xa dạ dày dày nạo vét hạch D2 phục hồi lưu thông bằng miệng nối Delta-shaped trong điều trị ung thư dạ dày từ tháng 12/2022 đến 08/2024 tại Bệnh viện HNĐK Nghệ An. Kết quả: Có 56 bệnh nhân, tuổi trung bình 63,13 ± 11,5 (39 - 93) tuổi
Nam giới chiếm 73,2%. BMI 20,4 ± 1,97 (17,3 - 25,4) kg/m2
tình trạng sức khỏe trước mổ chiếm 89,3% là ASA1 và ASA2. Vị trí tổn thương chủ yếu là ở hang vị, môn vi dạ dày, chiếm 94,6%. Giai đoạn bệnh chủ yếu là I và II, chiếm 87,6%. 1,8% có tai biến trong mổ
3,6% lỗi kỹ thuật làm miệng nối và 3,6% biến chứng sau mổ, không có biến chứng rò miệng nối và tử vong trong và sau mổ. Thời gian phẫu thuật trung bình là 160,1 ± 19,2 (130 - 220) phút
thời gian nằm viện sau mổ trung bình 6,8 ± 1,2 (5 - 14) ngày. Kết luận: Phẫu thuật nội soi cắt bán phần xa dạ dày dày nạo vét hạch D2 phục hồi lưu thông bằng miệng nối Delta-shaped là an toàn và hiệu quả trong điều trị ung thư dạ dày.This study aims to evaluate the outcomes of laparoscopic distal gastrectomy with D2 lymph node dissection and Delta-shaped anastomosis for gastric cancer treatment. Methods: A prospective descriptive study was conducted on patients who underwent laparoscopic distal gastrectomy with D2 lymph node dissection and Delta-shaped anastomosis for gastric cancer from December 2022 to August 2024 at Nghe An General Friendship Hospital. Results: A total of 56 patients were included, with an average age of 63.13 ± 11.5 years (range: 39-93), and 73.2% were male. The average BMI was 20.4 ± 1.97 kg/m² (range: 17.3- 25.4). Preoperative health status was classified as ASA1 or ASA2 in 89.3% of cases. The majority of tumors were located in the antrum and pylorus, accounting for 94.6%. The majority of patients were in stage I or II, comprising 87.6%. Intraoperative complications occurred in 1.8% of cases, with technical errors in anastomosis observed in 3.6%, and postoperative complications occurred in 3.6% of patients. There were no anastomotic leaks or deaths during or after surgery. The average surgical time was 160.1 ± 19.2 minutes (range: 130-220), and the average postoperative hospital stay was 6.8 ± 1.2 days (range: 5-14). Conclusion: Laparoscopic distal gastrectomy with D2 lymph node dissection and Delta-shaped anastomosis is a safe and effective treatment for gastric cancer.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR