Kết quả sớm phẫu thuật nội soi cắt toàn bộ mạc treo đại tràng phải điều trị ung thư biểu mô tuyến đại tràng phải

Abstract

This study is performed to evaluate the initial outcomes of laparoscopic complete mesocolic excision in treating right-sided colon adenocarcinoma at K Hospital, period 01/2020 – 12/2025. 53 cases met the selective criteria. Results: mean age 59.43 ± 10.96 years old, male 45.3%, the most common symptom is right-sided abdominal pain 56.6%. Most tumors were located at the hepatic flexure colon 39.6%, warty shape 71.7%. Laparoscopic surgery was successfully performed in 100% of patients, extracorporeal anastomosis 94.3%, handsewn anastomosis 86.8%. Mean operative time 118.02 ± 20.87 minutes, intraoperative bleeding 7.6%, postoperative complication 5.7% (wound infection and intestinal necrosis due to superior mesenteric vein occlusion), oral feeding time 2.54 ± 0.8 days, postoperative time 7.44 ± 0.89 days, mean number of harvested lymph nodes: 26.98 ± 8.6 with 47% metastasis rate.