KẾT QUẢ SỚM ỨNG DỤNG KĨ THUẬT SỬ DỤNG MÁY CẮT THẲNG THỰC HIỆN MIỆNG NỐI TRONG PHẪU THUẬT NỘI SOI HOÀN TOÀN ĐIỀU TRỊ UNG THƯ ĐẠI TRÀNG

Abstract

Objective: To evaluate early outcomes of totally laparoscopic colectomy with intracorporeal anastomosis using linear stapler in the treatment of colon cancer at Bach Mai Hospital. Participants and

Methods: A retrospective descriptive study was conducted on 100 patients with right, transverse, or left colon cancer who underwent totally laparoscopic colectomy with intracorporeal anastomosis using a linear stapler from January 2023 to December 2024. Data collected included patient characteristics, operative time, blood loss, anastomosis time, time to first flatus, length of hospital stay, number of lymph nodes harvested, and early postoperative complications.

Results: The mean operative time was 173 ± 12 minutes, mean anastomosis time 22.3 ± 2.3 minutes, and mean blood loss 34 ± 9 ml. Time to first flatus was 1.68 ± 0.5 days, and mean hospital stay was 6.5 ± 1 days. The mean number of lymph nodes harvested was 22 ± 10, all ≥12 nodes according to AJCC criteria. No anastomotic leak occurred; wound infection rate was 3%, postoperative bleeding 1%.

Conclusions: Totally laparoscopic colectomy with intracorporeal anastomosis using a linear stapler is safe, effective, and provides good oncological outcomes, with faster recovery compared to conventional open surgery.