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Issue: No. 101 (2026)
Section: Article
DOI: 10.58490/ctjump.2026i101.4647
Date Published: 20/08/2026
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Tran, C. M., Tran, P. H., & Dang, H. Q. (2026). SHORT-TERM OUTCOMES OF OPEN COLECTOMY WITH PRIMARY ANASTOMOSIS FOR OBSTRUCTIVE COLON CANCER. Cantho Journal of Medicine and Pharmacy, 101, 433-439. https://doi.org/10.58490/ctjump.2026i101.4647

SHORT-TERM OUTCOMES OF OPEN COLECTOMY WITH PRIMARY ANASTOMOSIS FOR OBSTRUCTIVE COLON CANCER

Cat Minh Tran1, Phuoc Hong Tran2, Hong Quan Dang1,
1 Can Tho University of Medicine and Pharmacy
2 Chau Doc General Hospital

Main Article Content

Abstract

Background: Colon cancer is a common malignancy, with bowel obstruction occurring in 15–30% of cases, representing a severe surgical emergency. Patients often present late with exhausted physical conditions, posing significant challenges in selecting the appropriate surgical approach. Objective: To evaluate the outcomes of one-stage colectomy with primary anastomosis in patients with obstructive colon cancer. Materials and methods:  A prospective, descriptive case series study was conducted on 30 patients. Results: In total, there were 30 patients (21 men and 9 women) with a mean age was 65.03 ± 11.47 years. The mean operation time was 148.83 ± 43.93 minutes. 100% of cases had negative resection margins. The postoperative complication rate was 10% with 2 cases of anastomotic leak, 1 case of surgical site infection, and the mean postoperative hospital stay was 8.47 ± 2.47 days. There were no in-hospital mortalities. Conclusion: One-stage colectomy with primary anastomosis is a feasible treatment and has initially demonstrated safety in carefully selected patients with colon cancer obstruction. 

Keywords

Bowel obstruction, colon cancer, primary anastomosis

Article Details

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References

1. Bray F, Laversanne M, Sung H. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024. 74(3), 229-63, https://doi.org/10.3322/caac.21834.
2. Yoo RN, Cho HM, Kye BH. Management of obstructive colon cancer: Current status, obstacles, and future directions. World J Gastrointest Oncol. 2021. 13(12), 1850-1862, https://doi.org/10.4251/wjgo.v13.i12.1850.
3. Nguyễn Hữu Thịnh, La Minh Đức. Ung thư đại tràng. Bệnh học Ngoại khoa Tiêu hoá. 2023. 194-219.
4. Baer C, Menon R, Bastawrous S, Bastawrous A. Emergency Presentations of Colorectal Cancer. Surg Clin North Am. 2017. 97(3), 529-545, https://doi.org/10.1016/j.suc.2017.01.004.
5. Frago R, Ramirez E, Millan M. Current management of acute malignant large bowel obstruction : a systematic review. Am J Surg. 2014. 207(1), 127-138, https://doi.org/10.1016/j.amjsurg.2013.07.027.
6. Nguyễn Minh Tuấn, Mai Tiến Dũng, Nguyễn Thành Luân, Nguyễn Đình Hợp, Trần Nhật Linh và cộng sự. Điều trị tắc ruột do ung thư đại trực tràng tại bệnh viện 19-8: giải pháp và kỹ thuật. Tạp chí Y học Việt Nam. 2025. 555(2), 375-379, DOI: 10.51298/vmj.v555i2.16074.
7. Nguyễn Trương Chinh, Phạm Minh Đức, Phan Đình Tuấn Dũng. Đánh giá kết quả sớm phẫu thuật ung thư đại tràng có biến chứng bán tắc ruột hoặc tắc ruột. Tạp chí Y Dược Huế. 2025. 15(7), 166-170, DOI: 10.34071/jmp.2025.7.22.
8. Trần Mạnh Hùng. Kết quả sớm điều trị phẫu thuật tắc ruột do ung thư biểu mô đại tràng phải tại bệnh viện Bạch Mai. Tạp Chí Y Học Việt Nam. 2022. 512(1), 171-175, 10.51298/vmj.v512i1.2223.
9. Thái Khắc Thảo, Nguyễn Trọng Hòe, Nguyễn Văn Quân, Trần Doanh Hiệu. Đánh giá kết quả sớm phẫu thuật nội soi hoàn toàn cắt nửa đại tràng phải điều trị ung thư biểu mô đại tràng phải tại bệnh viện quân y 103. Tạp chí y dược học quân sự. 2026.(2), 228-236, DOI: 10.56535/jmpm.v51i2.1760.
10. Oliveira A, Faria S, Gonçalves N. Surgical approaches to colonic and rectal anastomosis: systematic review and meta-analysis. Int J Colorectal Dis. 2023. 38(1), 52, https://doi.org/10.1007/s00384-023-04328-6.
11. Đỗ Duy Đạt, Hồ Hữu Đức, Hoàng Anh Bắc, Nguyễn Văn Hưng. Đánh giá hiệu quả phẫu thuật cắt nửa phải đại tràng, nối một thì trong xử trí tắc ruột do u đại tràng tại bệnh viện thống nhất. Tạp chí Sức khỏe và Lão hóa. 2025. 1(2), 78-82, DOI: 10.63947/bvtn.v1i2.10.
12. Mege D, Manceau G, Beyer-Berjot L. Surgical management of obstructive right-sided colon cancer at a national level results of a multicenter study of the French Surgical Association in 776 patients. Eur J Surg Oncol. 2018. 44(10), 1522-1531, https://doi.org/10.1016/j.ejso.2018.06.027.
13. Ramphal W, Boeding JRE, Gobardhan PD, Rutten HJT, de Winter LJMB, et al. Oncologic outcome and recurrence rate following anastomotic leakage after curative resection for colorectal cancer. Surgical oncology. 2018. 27(4), 730–736, https://doi.org/10.1016/j.suronc.2018.10.003.