Abstract
Introduction: Purpose: To evaluate the result of laparoscopic treatment for adenocarcinoma of the right colon in Viet Duc University Hospital from 2013 to 2017.
Material and Methods: it’s a descriptive retrospective study. Main research criteria: operating time, rate of conversion to open surgery, intra- and postoperative complications, postoperative survival rate…
Results: 127 patients with adenocarcinoma of right colon were treated by laparoscopic right colectomy. The rate of conversion to open surgery is 17,3%. Mean of duration of procedure: 138.5 ± 40.1 minutes (60 – 250). The number of removed nodes is 12.64 ± 6.23 (4 – 43). No peri-operative complications. Most of post-operative complications are surgical site infection (6,3%). Mean time until flatulence is 3.28 ± 1.16 days (2 – 6 days). Mean follow-up time is 28.5 ± 16.7 months (5.1- 61.1 months). There are 11 deaths (9.6%). Mean survival time is 55.68 ± 1.53 months. 5-year survival rate is 91,3%. Actual survival rates in 1 year, 2 years, 3 years, 4 years are 99,2%, 92,4%, 87,8%, 85,9%, respectively Conclusion: Laparoscopic surgery for treatment of adenocarcinoma of the right colon is a safe, effective procedure with low complication rates, good postoperative recovery, good oncologic outcomes and high 5-year survival rate.
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