Article Sidebar
Views PDF: 361
OUTCOMES OF LAPAROSCOPIC LOW ANTERIOR RESECTION FOR RECTAL CANCER AT DANANG ONCOLOGY HOSPITAL
Main Article Content
Abstract
Background: The management of rectal cancer requires a multidisciplinary approach and laparoscopic low anterior resection with total mesorectal exision is the most radical operation. Objectives: Evalutates the perioperative and long-term oncological outcomes of patients treated by laparoscopic low anterior resection. Material and methods: This was a descriptive study of all rectal cancer patients treated by laparoscopic low anterior resection at Da Nang Oncology Hospital from August 2016 to September 2022. Results: A total of 106 patients were included in this study. Postoperative complication rate was 13.2%, postoperative mortality rate was 1.8%, surgical site infection was 6.6%, early anastomotic leakage was 0.9%, late anastomotic leakage was 0.9%, postoperative perforated duodenal ulcer was 0,9%. The 5-year disease-free survival and the 5-year overall survival rates were 92.2% and 91.1% respectively. Conclusion: Laparoscopic low anterior resection for management of rectal cancer is a safe procedure, the 5-year disease-free survival and the 5-year overall survival rates were high.
Article Details
Keywords
Rectal cancer, laparoscopic low anterior resection, long-term outcome
References
2. Trần Minh Đức, Nguyễn Cao Cương (2014), “Kết quả sớm phẫu thuật nội soi cắt trước thấp nối máy trong điều trị ung thư trực tràng”. Y học TP Hồ Chí Minh, Tập 18, Số 1, tr .62-66.
3. Phạm Như Hiệp, Phan Hải Thanh, Hồ Hữu Thiện, Phạm Anh Vũ (2009), “Kinh nghiệm điều trị ung thư trực tràng bằng phẫu thuật nội soi”, Tạp chí Y học TP. Hồ Chí Minh, tập 13, Phụ bản của số 5- 2009, Hội thảo phòng chống ung thư- TP. Cần Thơ 2009, tr.139-145.
4. Mai Đức Hùng (2012). Nghiên cứu chỉ định và đánh giá kết quả phẫu thuật nội soi cắt trước thấp nối máy trong điều trị ung thư trực tràng, Luận văn tiến sỹ Y học, Học viện quân y.
5. Phạm Minh Tuấn, Chiêm Hoàng Phong, Nguyễn Thành Nhân và cs (2017), “Kết quả sớm của phẫu thuật nội soi điều trị ung thư trực tràng tại Bệnh viện Nguyễn Tri Phương”, Y học TP Hồ Chí Minh, PB Tập 21, Số 3, tr.74-78.
6. Fleshman J, Branda M, Sargent DJ, et al. Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial. JAMA. 2015; 314, pp. 1346-55.
7. Ng, S.S.M., Lee, J.F.Y., Yiu, R.Y.C. et al. Laparoscopic-assisted versus open total mesorectal excision with anal sphincter preservation for mid and low rectal cancer: a prospective, randomized trial. Surg Endosc 28, pp. 297-306 (2014).
8. Van der Pas MH, Haglind E, Cuesta MA, et al. Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol. 2013;14, pp. 210-8.
9. Wong D. (2002). Complicated Colorectal Cancer: Locally recurrent rectal cancer, International colorectal disease symposium 2002, Hong Kong, pp. 81-84.
10. Yan L., Yin Y.H., Liang Y.G.et al (1998). Study on the cause of local recurrence of rectal cancer after curative resection: analysis of 213 cases, WJG, China, 4(6), pp. 527-9.