Articles Vol. 67 No. 10 25/10/2026

SURGICAL OUTCOMES OF COLECTOMY FOR COLON ADENOCARCINOMA AT HA GIANG GENERAL HOSPITAL

Bui Quang Thai, Trinh Hong Son
DOI: 10.52163/yhc.v67i10.6871
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Abstract

Objective: To describe the clinical and paraclinical characteristics and evaluate early surgical outcomes of colectomy for colon adenocarcinoma at Ha Giang General Hospital. Subjects and methods: A retrospective descriptive study of 62 patients with colon adenocarcinoma who underwent surgery at Ha Giang General Hospital from January 2023 to June 2025. Results: The mean age was 62.4 ± 11.8 years, with a male-to-female ratio of 1:1. The main clinical symptoms were abdominal pain (82.3%), gastrointestinal disorders (43.5%) and weight loss (38.7%). All patients presented with symptomatic disease; none were diagnosed through screening programs. The sigmoid colon was the most common tumor location (48.4%). All tumors were adenocarcinomas; moderately differentiated tumors accounted for 74.2%. Stages T3-T4 accounted for 67.7% and nodal metastasis (N+) for 41.9%. All patients underwent open surgery, with emergency surgery accounting for 16.1%. The mean operative time was 149.5 ± 45.1 minutes and the mean number of lymph nodes harvested was 12.39 ± 7.28. Anastomotic leakage rate was 1.6%, surgical site infection rate 4.8%, and 30-day mortality rate 1.6%. Mean time to first flatus was 3.0 ± 0.7 days and mean postoperative hospital stay was 11.39 ± 2.8 days. Conclusion: Open surgery for the treatment of colon cancer at Ha Giang Provincial General Hospital is a feasible and safe approach, yielding favorable short-term outcomes with acceptable rates of postoperative complications and early mortality in the study population. Further studies with larger sample sizes and long-term follow-up are warranted to comprehensively evaluate oncological outcomes.

Keywords
Colorectal cancer, colectomy, early surgical outcomes.
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