Đánh giá kết quả sớm sau phẫu thuật mở điều trị ung thư đại tràng trên bệnh nhân cao tuổi tại Bệnh viện K

Abstract

Objective: To review of some clinical, paraclinical and early results after surgery for colon cancer in elderly patients at K Hospital. Subject and method: Including 35 patients aged 60 years and older, undergoing surgery to treat colon cancer. Descriptive studies include all cases. Result: The percentage of men (54.3%) was more than women (45.7%). Abdominal pain and defecation disorders accounted for a high rate (> 65%). Blood in stool was 57.1%. The detection rate with flexible endoscopy was 100% and computed tomography with contrast was 91.4%. Tumor location of right colon was 37.1%, left colon was 62.9%, tumor surface was 57.1%. The average surgical time was 115.3 ± 21.4 minutes, the proximal resection margin was 14.0 ± 6.0cm, the distal resection margin was 9.3 ± 5.0cm. The median number of examined lymph nodes was 13.7 ± 6.7 nodes. Adenocarcinoma was 88.6%, moderate differentiation was 100%. Tumor invasion (T3 and T4) was 91.4%. Complications of infection and intestinal obstruction were 8.6%. the length of hospital stay was 9.1 ± 2.9 days. Good outcome after surgery was 91.4%. Conclusion: Surgery for colon cancer in patients ≥ 60 years old at K Hospital has a high success rate, low surgical complications.