Kết quả sớm của phẫu thuật nội soi cắt cụt trực tràng trên bệnh nhân ung thư trực tràng thấp được hóa xạ trị trước mổ tại bệnh viện K

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Tác giả: Văn Bình Phạm

Ngôn ngữ: vie

Ký hiệu phân loại: 617.554 +Intestine

Thông tin xuất bản: Y học Việt Nam, 2018

Mô tả vật lý: 24-27

Bộ sưu tập: Metadata

ID: 543977

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Đánh giá kết quả sớm của phẫu thuật nội soi cắt cụt trực tràng trên 49 bệnh nhân ung thư trực tràng thấp được hóa xạ trị trước mổ tại bệnh viện K từ 01/2015 đến 7/2017. Thời gian mổ 139,7 ± 29,6 (phút), có 1 bệnh nhân tai biến tổn thương đáy bàng quang, 3 trường hợp chuyển mổ mở do u xâm lấn rộng. Thời gian có nhu động ruột là 2,2 ± 0,9 (ngày), thời gian dùng thuốc giảm đau là 3,4 ± 0,9, thời gian rút sonde tiểu là 3,3 ngày và thời gian hậu phẫu là 8,6 ± 2,2 ngày. Biến chứng sau mổ gặp 8,7%, trong đó bí tiểu gặp ở 2 bệnh nhân, 1 bệnh nhân chảy máu tầng sinh môn sau rút meche và 1 bệnh nhân chuyển mổ lại do tắc ruột cao sau mổ 8 ngày.Objective. Assess the early result of abdominal perineal resection (APR) by Laparoscopic surgery in pre-operative chemoradiation patients at K Hospital. Methods. Cross sectional survey-with 49 pre-operative chemoradiation patients with lower rectal cancer, who were undergone APR by Laparoscopic surgery at K Hospital from January, 2015 to July, 2017. Results: Operating duration was 139,7 ± 29,6 (mins), 1 case was sufferred from bladder lesion in accident, 3 cases were changed to laparotomy, bowel movement recovery duration was 2,2 ± 0,9 (days), pain-relief using duration was 3,4 ± 0,9 (days)
urine drainage remove time was 3,3 days, postoperative duration was 8,6 ± 2,2 (days). 8.7% of postoperative complications, induding urinary retention seen in 2 patients (4.3%), 1 patient with perineal bleeding after withdrawal meche, 1 patents must be operated again due to ileus obstruction. Conclusion: The laparốcpic surgery is an effective, safe surgical approach to lower rectal cancer patients treated preoperative chemoradiation therapy.

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