Objective: To evaluate the results of Gastrectomy with Multivisceral Resection for gastric carcinoma at the Department of Oncology and Radiotherapy, Viet Duc Friendship Hospital from January 2019 to June 2024.
Subjects and method: Descriptive study on 33 gastric cancer patients (GC) who underwent Gastrectomy with Multivisceral Resection (G+MVR) due to invasive GC, metastasis or synchronous cancer in other organs.
Results: The average age was 63.58 ± 13.94 years. The male/female ratio was 1.54. The average tumor size was 6.62 ± 3.99 cm. The tumor locations were 1/3 above, 1/3 below and 1/3 below, respectively, 60.6%, 27.3% and 12.1%. Total gastrectomy accounted for 39.4%. The main organs resected were the colon (27.3%), pancreas (21.2%), spleen, body and tail of pancreas (12.1%), liver (9.1%), gallbladder (9.1%), ovary (6.1%). The average number of lymph nodes removed was 26.42 ± 14.6, the average number of metastatic lymph nodes was 9.42 ± 9.8. The average surgical time was 262.8 ± 88.7 minutes. The rate of intraoperative complications was 3.0%. The overall postoperative complication rate was 27.3%, 02 cases of postoperative bleeding accounted for 6.1%, including 01 case of death due to pancreaticoenteric anastomosis bleeding on the 8th postoperative day. The average postoperative time was 13.4 ± 7.5 days.
Conclusion: G+MVR for locally advanced clinical T4b gastric cancer, resectable metastasis or synchronous gastric cancer with other cancer in the abdomen has an acceptable rates of complications.