EARLY RESULTS OF LAPAROSCOPIC SURGERY FOR COLON CANCER AT CAN THO ONCOLOGY HOSPITAL

Ho Long Hien1, Vo Van Kha1, Nguyen Van Ven1
1 Can Tho Oncology Hospital

Main Article Content

Abstract

Objectives: To evaluate the early outcomes of laparoscopic surgery in the treatment of colon cancer.


Materials and Methods: A descriptive study was conducted on 42 patients diagnosed with colon cancer who underwent laparoscopic colectomy with lymph node dissection at Can Tho Oncology Hospital from January 2023 to October 2024.


Results: The mean age of the participants was 56.2 ± 12.6 years, with males accounting for 69%. The most common tumor location was the sigmoid colon (54.8%). The mean operative time was 158.5 ± 43.6 minutes, and the mean estimated blood loss was 59.4 ml. The average number of harvested lymph nodes was 16.6 ± 4.2. The overall complication rate was 21.4%, including surgical site infection (9.5%) and postoperative ileus (16.7%), no cases of anastomotic leakage or mortality were recorded. The mean postoperative hospital stay was 7.1 ± 0.8 days.


Conclusion: Early outcomes of laparoscopic surgery for colon cancer treatment show that this is a safe and feasible method, with low complication rates  and a reliable maximum number of harvested lymph nodes..

Article Details

References

1. Bray F, Laversanne M, Sung H, Ferlay J, Colombet M, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263. doi: 10.3322/caac.21834
2. Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050-2059. DOI: 10.1056/NEJMoa032651.
3. Colon Cancer Laparoscopic or Open Resection Study Group. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2005;6(7):477-484. DOI: 10.1016/S1470-2045(05)70221-7.
4. Japanese Society for Cancer of the Colon and Rectum. Japanese Society for Cancer of the Colon and Rectum (JSCCR) Guidelines 2019 for the Treatment of Colorectal Cancer. Int J Clin Oncol. 2019;24(11):1253-1302. doi:10.1007/s10147-019-01485-z
5. Phùng Văn Dũng, Nguyễn Quang Thái và Nguyễn Xuân Hậu (2025), "Nghiên cứu kết quả điều trị sớm phẫu thuật nội soi ung thư đại tràng tại Bệnh viện K", Tạp chí Y học Việt Nam, 554(3), tr. 351-355. DOI: https://doi.org/10.51298/vmj.v554i3.15840.
6. Tô Minh Hùng, Phạm Văn Thịnh và Nguyễn Văn Quân (2025), "Kết quả bước đầu phẫu thuật nội soi điều trị ung thư đại trực tràng tại Bệnh viện Đa khoa Tỉnh Lào Cai", Tạp chí Y học Việt Nam, 548(2), tr. 1-5. DOI: https://doi.org/10.51298/vmj.v548i2.13360.
7. Nguyễn Thanh Xuân và Lê Đức Anh (2021), "Đánh giá kết quả sớm điều trị ung thư đại tràng bằng phẫu thuật nội soi", Tạp chí Y học Lâm sàng, (74), tr. 1-5. DOI: https://doi.org/10.38103/jcmhch.74.1
8. Choy PY, Mansour IP, Peeters G, et al. Stapled versus handsewn methods for colorectal anastomosis. Cochrane Database Syst Rev. 2011;2011(9):CD003144. DOI: https://doi.org/10.1002/14651858.CD003144.pub2
9. Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718-1726. 10.1016/S0140-6736(05)66545-2.