Article Sidebar

PDF (Tiếng Việt)
Published: 2023-01-31
Abstract Views: 492
Views PDF (Tiếng Việt): 365
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

1. Birendra K Sah, Ming-Min Chen, Min Yan. Gastric cancer surgery: Billroth I or Billroth II for distal gastrectomy? BioMed Central Cancer, 2009, 9:p.428 - 436.
2. G. Piessen, J. Triboulet, C. Mariette. Reconstruction after gastrectomy: Which technique is best? Journal of visceral surgery; 2010, 147(5): p.273 - 283.
3. Ishikawa M, Kitayama J, Kaizaki S. Prospective randomized trial comparing Billroth I and Roux-en-Y procedures after distal gastrectomy for gastric carcinoma. World J Surg, 2005; 29: 1415 - 1420.
4. Jeong HS, Kim KJ, Cha YJ, et al. Comparison of the Early Postoperative Results after a Billroth I and a Billroth II Gastrectomy for Gastric Cancer. J Korean Gastric Cancer Assoc. 2002; 2(2): p.96 - 100.
5. Nunobe S, Okaro A, Sasako M, et al. Billroth 1 versus Roux-en-Y reconstructions: a quality-of-life survey at 5 years. Int J Clin Oncol. 2007; 12(6): p.433 - 439.
6. Sachiyo Nomura, Michio Kaminishi. Surgical Treatment of Early Gastric Cancer. Digestive Surgery 2007; 24: 96 - 100.
7. Yutaka Kimura, Jota Mikami, Makoto Yamasaki, et al. Comparison of 5-year postoperative outcomes after Billroth I and Roux-en-Y reconstruction following distal gastrectomy for gastric cancer: Results from a multi-institutional randomized controlled trial. Ann Gastroenterol Surg. 2021; 5: 93–101.
8. Junya Fujita, Masazumi Takahashi, Takashi Urushihara, et al. Assessment of postoperative quality of life following pylorus-preserving gastrectomy and Billroth-I distal gastrectomy in gastric cancer patients: results of the nationwide postgastrectomy syndrome assessment study. Gastric Cancer. 2016; 19: 302–311.
9. Koki Nakanishi, Mitsuro Kanda, et al. Propensity‑score‑matched analysis of a multi‑institutional dataset to compare postoperative complications between Billroth I and Roux‑en‑Y reconstructions after distal gastrectomy. Gastric Cancer. 2020; 23: 734 - 745.
10. Trịnh Hồng Sơn. Nghiên cứu nạo vét hạch trong điều trị phẫu thuật ung thư dạ dày. Luận án tiến sĩ Y học - Trường đại học Y Hà Nội. 2001.
11. Hoàng Việt Dũng, Trịnh Hồng Sơn. Phục hồi lưu thông phương pháp Billroth I kiểu Péan sau cắt dạ dày bán phần điều trị ung thư dạ dày ở người cao tuổi tại Bệnh viện Hữu Nghị. Tạp chí Y học thực hành, 2016, trang 39-44.
12. Nguyễn Quang Bộ. “nghiên cứu kết quả điều trị ung thư dạ dày 1/3 dưới bằng phẫu thuật triệt căn có kết hợp hóa chất”. Luận án tiến sỹ y học, Trường đại học Y dược Huế. 2017.
13. Hồ Chí Thanh, Nghiên cứu ứng dụng phẫu thuật nội soi hỗ trợ điều trị triệt căn ung thư biểm mô 1/3 dưới dạ dày tại Bệnh viện Quân y 103. Luận án Tiến sĩ Y học, Học viện Quân y, Hà Nội. 2016.
14. Trần Thiện Trung. Ung thư dạ dày, bệnh sinh, chẩn đoán, điều trị. Nhà xuất bản Y học, 2014, tr. 260-265.
15. Jeong HS, Kim KJ, Cha YJ, et al. Comparison of the Early Postoperative Results after a Billroth I and a Billroth II Gastrectomy for Gastric Cancer. J Korean Gastric Cancer Assoc. 2002 ; 2(2): p.96 - 100.
16. Quách Trọng Đức, Lê Minh Huy, Nguyễn Thúy Oanh, Nguyễn Sào Trung. “Xác định bệnh nhân nguy cơ cao bị ung thư dạ dày trên nội soi: Ai cần sinh thiết hệ thống và nên sinh thiết ở vị trí nào?”, Tạp chí khoa học tiêu hóa Việt Nam - Tập VII - số 29, 2012, tr. 1875 – 1882.
17. G.Piessen, P.Triboulet, C.Mariette. Reconstruction after gastrectomy: Which technique is best? Journal of Visceral Surgery, Volume 147, Issue 5, October 2010, Pages e273-e283