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Date Published: 30/09/2023
Online Published: 30/09/2023
Abstract Views: 122
Views PDF: 117
DOI: https://doi.org/10.58490/ctump.2023i64.1260
Issue
No. 64 (2023)
Section
Article
How to Cite
Tran, N. P., Nguyen, L. G. K., Nguyen, V. T., Dang, H. Q., & Pham, V. N. (2023). THE VALUE OF MAGNETIC RESONANCE IMAGING FOR RECTAL CANCER STAGING TREATMENT BY LAPAROSCOPIC SURGERY. Cantho Journal of Medicine and Pharmacy, 64, 70-77. https://doi.org/10.58490/ctump.2023i64.1260

THE VALUE OF MAGNETIC RESONANCE IMAGING FOR RECTAL CANCER STAGING TREATMENT BY LAPAROSCOPIC SURGERY

Nhat Phi Tran1,, Le Gia Kiet Nguyen1, Van Tuan Nguyen1, Hong Quan Dang1, Van Nang Pham1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Rectal cancer is a common malignant disease of the digestive tract with an increasing trend in incidence, shows subtle symptoms, and is often detected at a late stage, leading to a poor prognosis due to the risk of local recurrence and distant metastasis. Objective: (1) To determine the value of magnetic resonance imaging in assessing the invasion level of rectal cancer; (2) Short-term outcomes of laparoscopic surgery for rectal cancer. Materials and method: A crosssectional, prospective study was conducted on 45 patients with rectal cancer who underwent magnetic resonance imaging and evaluation of circumferential resection margin from June 2021 to April 2023. Results: The male-to-female ratio was 1.6:1, with a mean age of 61.76 ± 11.15 (range, 37-85) years. The accuracy of determining invasion level was 60%, and that of determining CRM involvement was 62.22%. The value of MRI in diagnosing stage ≥ T3 was 58.5 times higher than that in diagnosing stage < T3. The mean operative time was 281 minutes. Postoperative anastomotic leakage was recorded in two cases and wound infection in five cases. No mortality was recorded. Conclusion: Pelvic MRI is a highly accurate imaging diagnostic tool for assessing the invasion level of rectal cancer. Laparoscopic surgery for rectal cancer is feasible and safe.

Article Details

Keywords

Rectal cancer, laparoscopic surgery, circumferential resecsion margin (CRM), magnetic resonance imaging

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