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Date Published: 12/06/2023
Online Published: 12/06/2023
Abstract Views: 119
Views PDF: 139
Issue
No. 29 (2020)
Section
Article
How to Cite
Dang, H. Q., Nguyen , V. L., Nguyen , V. T., Mai, V. D., Le , T. V., Vo , T. H., & Pham , V. N. (2023). EARLY OUTCOMES OF LAPAROSCOPIC SURGERY FOR TREATMENT OF RECTAL CANCER AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL. Cantho Journal of Medicine and Pharmacy, 29, 143-149. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/1599

EARLY OUTCOMES OF LAPAROSCOPIC SURGERY FOR TREATMENT OF RECTAL CANCER AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Hong Quan Dang1,, Van Luan Nguyen 1, Van Tuan Nguyen 1, Van Doi Mai1, Thanh Vu Le 1, Thi Hau Vo 1, Van Nang Pham 1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Rectal cancer is a common disease of digestive tract. Laparoscopic surgery for treatment of rectal cancer has been performed in many parts of the world and in Viet Nam. Circumferential resection margin (CRM) status is one of the strongest predictors in rectal cancer. Objectives: The aims of this study were to identify the early results of laparoscopic surgery for treatment of rectal cancer, to assess the histopathological characteristics and circumferential resection margin status. Materials and methods: In this cross – sectional study, patients with rectal cancer who underwent laparoscopic surgery according to the principles of total mesorectal excision (TME) between July, 2017 and December, 2019 were extracted at Can Tho University of Medicine and Pharmacy Hospital. Identifying the early results of laparoscopic surgery and whole – mount section technique was used to evaluate CRM status. Results: All data and CRM of 54 patients were collected. 28 males and 26 females were included in the study. Mean age 62.3 years. Laparoscopic anterior resection with sphincter-saving TME was performed in 47 patients and Miles procedure in 7 patients. Mean operating time was 254 ± 83 minutes. Mean postoperative period until bowel movement, length of hospital stay was 1,6 and 9,1 days, respectively. Postoperative complications were anastomotic leakage (3.7%); wound infections (3.7%), anastomotic bleeding (3.7%), fecal incontinence (3.7%) and urinary retention (5.5%). Total morbidity was 20.3%, but there were no fatal complications or operative deaths. In 35.2%, the quality of the mesorectum was complete, nearly complete in 53.7%. CRM involvement in 33.3%. Conclusion: Laparoscopic surgery for rectal cancer is a safe procedure. We can routinely perform this method for rectal cancer patients. CRM involvement was 33.3%.

Article Details

Keywords

Rectal cancer, Laparoscopic surgery, circumferential resection margin, the quality of the mesorectum

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