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Published: 2023-01-31
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DOI: https://doi.org/10.52852/tcncyh.v162i1.1331
Issue
Vol. 162 No. 1 (2023)
Section
Các bài báo
How to Cite
Tiến Ngọc, Đặng ., Hồng Sơn, T. ., Đăng Vững, N. ., & Văn Tịnh, L. . (2023). 12. Lower-pole gastrectomy with péan-style connecting mouth in order to treat adenocarcinoma of 1/3 lower stomach in the elderly patients. Journal of Medical Research, 162(1), 101-112. https://doi.org/10.52852/tcncyh.v162i1.1331

12. Lower-pole gastrectomy with péan-style connecting mouth in order to treat adenocarcinoma of 1/3 lower stomach in the elderly patients

Dang Tien Ngoc, Trinh Hong Son, Nguyen Dang Vung, Le Van Tinh

Main Article Content

Abstract

This study described the results of lower pole gastrectomy with PÈan anastomosis for primary adenocarcinoma of the lower third of the stomach in the elderly. From 1/2018 to 2/2020, 39 patients aged 60 years or older with primary adenocarcinoma of the lower third of the stomach underwent lower pole gastrectomy with anastomosis and followed at Viet Duc Friendship Hospital. Among the 39 patients, 48.7% were female and 51.3% were male. Early-stage adenocarcinoma accounted for 38.4% and advanced adenocarcinoma accounted for 61.6%. Symptoms included epigastric pain (84.6%), high CEA and CA19-9 (11.1%), and high CA72-4 (20%). Abdominal computed tomography was done at 82.1% of gastric wall thickness. The most common site of pathology is the small curvature (46.5%). The average operative time was 180 minutes. There was no intraoperative complication and no postoperative mortality. Postoperatively, there was low rate of complications and mild complications. The survival rate was 92.3% and the mean survival time to the end of the study was 41 ± 8.9 months. PÈan-type Billroth I anastomosis showed good results in elderly patients, shortened surgery time, reduced intraoperative complications, and maintained functions of the gastrointestinal tract.

Article Details

Keywords

Gastric adenocarcinoma, Billroth I type Péan

References

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