Phẫu thuật nội soi ung thư đại trực tràng tại bệnh viện trung ương Huế và bệnh viện trường Đại học Y dược Huế

Perpose: Evaluation of clinic, subclinic characteristics and results from laparoscopic left hemicolectomy for left colon cancer at Hue Central Hospital and Hospital of the Hue Medical and Pharmaceutical College. Metholds: Consist of 45 patients with left colon cancer who were operated to laparoscopic left hemicolectomy, sigmoidectomy and lymphadectomy at Hue Centre Hospital and Hospital of the Hue Medical and Pharmaceutical College from September 2007 to September 2010. Results: Age: average 56.8 + or - 17.4, the most age range from 40-60, to take 56.1 percent. Sex: male 59.6 percent, female 40.4 percent, rate male/female 1.48/1. The most symptom was abdominal pain 94.7 percent, alimentary disorder 50.9 percent, blood stool 56.1 percent, touch up the tumors 14.1 percent. Colonoscopy: malignant ulcer tumors were highest rate 40.3 percent, tumor positions at sigmoid colon 65.6 percent. Laparoscopic sigmoidectomy 56.2 percent, left hemicolectomy 19.3 percent, size of the tumor or = 5cm was 60.4 percent. Third stage of TNM 59.7 percent and adenocarcinoma was 98.3 percent. Elevation of CEA serum level upper 5ng/ml: Preoperative was 63.2 percent, postoperative of three months was 21.9 percent, postoperative of six months was 27.8 percent. Wound infection was 5.3 percent, anastomotic leakage 1.7 percent, and without reoperative case and without surgical mortality. Conclusions: Laparoscopic left hemicolectomy for left colon cancer is safe, feasible, few complications and its advantages.