11. Kết quả sơ bộ phẫu thuật nội soi cắt đại tràng kèm toàn bộ mạc treo trong điều trị bệnh lý ung thư đại tràng

Abstract

Laparoscopic complete mesocolic excision (CME) has more lymph nodes resected than traditional laparoscopic colectomy. The laparoscopic CME has not been extensively described as a safe strategy. The current study aims to evaluate clinical characteristics and preliminary results of laparoscopic CME in colon cancer. This is a descriptive study of 30 patients at the Hue University of Medicine and Pharmacy Hospital and Hue Central Hospital from May 2021 to July 2022. The mean age was 63.9 ± 15.0, and males accounted for 53.3%. ASA 1 was the majority, with a rate of 60.0%. 53.3% of patients had moderate and high nutritional risk. The sigmoid colon tumors were highest at 40.0%. The prevalence of splenic flexure colon, the same transverse colon location, was a minor proportion at 3.3%. The sigmoidectomy and sigmoidectomy and partial of upper third rectal resection accounted for 40.0%. The mean (range) of the length of hospital stay was 7.0 ± 1.5 days. The specimen length, mesentery width, and lymph nodes average were 30.9 ± 8.0cm, 9.2 ± 1.7cm, and 59.1 ± 19.7, respectively. The average tumor size was 4.4 ± 1.9cm. The analytical plane achieved 83.3% of the complete mesenteric plane. AJCC 8th Stage I after surgery accounted for 40.0%, followed by stages IIIb, and IIa with 36.7% and 13.3%, respectively. Only three patients had complications of surgical site infection, accounting for 10.0%, and one with abdominal subcutaneous emphysema and urinary retention accounted for 3.3%. From the preliminary results, we suggest that laparoscopic CME colectomy is feasible, safe, and reliable with maximal lymph node retrieval.