THE EARLY RESULTS OF RADICAL SURGERY IN TREATMENT OF RECTAL CANCER

Nguyen Minh Trong1, Pham Hoang Ha2, Nguyen Xuan Hung2
1 K Hospital
2 Viet Duc Hospital

Main Article Content

Abstract

Objectives: To evaluate the early result of radical surgical treatment of rectal carcinoma. Subjects and methods: Longitudinal follow-up study on 109 patients diagnosed with rectal carcinoma who were surgically treated at Department of colorectal and perineal surgery, Viet Duc
hospital from October 2016 to May 2019. 
Results: Complications of anastomotic leakage (2.75%). Postoperative bleeding (1.83%). Abdominal wound infection (10.09%). Postoperative enteroplegia (5.50%). Urinary retention (4.59%). Intestinal obstruction (2.75%). Bladder leakage and psychosis both accounted for 1.83%. Intra-abdominal bleeding, pelvic abscess, acute pancreatitis all accounted for 0.92%. Parastomal hernia had a patient,
accounting for 0.92%. There were 18.37% of patients relapse after surgery. There were 11.22% of patients with distant metastasis detected after surgery, the metastatic organs were liver and lung metastasises.
Conclusion: Complications of radical surgery for rectal cancer were mainly anastomic leakage, wound infection, postoperative enteroplegia. The postoperative recurrence rate was 18.37% in all
following (11.22% of patients had distant metastases after surgery).

Article Details

References

[1] Freddie B, Jacques F, Isabelle S et al., Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries, Ca Cancer J Clin., 2018; 68(6): 394–424.
[2] RJ Heald, M Husband, RDH Ryall, The mesorectum in rectal cancer surgery-the clue to pelvic recurrence?, Br. J. Surg., 1982; 69(10):613-6.
[3] Seung HB, Nam KK, Young CL et al., Prognostic Significance of Circumferential Resection Margin Following Total Mesorectal Excision and Adjuvant Chemoradiotherapy in Patients with Rectal Cancer, Ann Surg Oncol., 2007; 14(2) : 462-469.
[4] Youn YP, Jaeim L, Yoon DH et al., Survival outcomes after isolated local recurrence of rectal cancer and risk analysis affecting its resectability, J Surg Oncol, 2020; 122(7): 1470-1480
[5] Cuong TA, Study the characteristics of lymph node metastasis and surgical treatment outcomes rectal cancer is present in the hospital K, Doctor of Medicine Thesis, Hanoi Medical University, 2017. (in Vietnamese)
[6] Tuan LQ, Evaluation of the results of surgical resection and anastomosis in the treatment of middle and low rectal cancer, Doctor of Medicine Thesis, Hanoi Medical University, 2020. (in Vietnamese)
[7] Peter I, Ismail G, Lene HI, Danish Colorectal Cancer Group Database, Clin Epidemiol., 2016; 8: 465-468. https://doi.org/10.2147/CLEP.S99481
[8] Celeste YK, Wissam JH, Obaid OC et al., Risk Factors for Anastomotic Leakage After Anterior Resection for Rectal Cancer, JAMA Surg., 2013;148 (1): 65-71.
[9] Bogdan CP, Scott C, Anthony RM et al., Postoperative Complications Following Surgery for Rectal Cancer, Ann Surg., 2010; 251(5):807-818
[10] Philip R, John TH, TNM staging atlas with oncoanatomy, Lippincott Williams & Wilkins Publisher, 2012; p. 352-361.