KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT ĐOẠN DẠ DÀY CỰC DƯỚI NẠO VÉT HẠCH D2 BẢO TỒN THẦN KINH X ĐIỀU TRỊ UNG THƯ DẠ DÀY

Abstract

Objectives: This study aimed to describe the clinical and paraclinical characteristics and to evaluate the early outcomes of totally laparoscopic distal gastrectomy with D2 lymphadenectomy and preservation of the celiac branch of the vagus nerve in patients with gastric cancer. Participants and

Methods: A retrospective descriptive study was conducted on 81 patients with gastric cancer who underwent totally laparoscopic distal gastrectomy with D2 lymph node dissection and preservation of the celiac branch of the vagus nerve at Bach Mai Hospital from January 2023 to December 2024.

Results: The mean age was 65.3 years, with a male predominance (male-to-female ratio 2.3:1). The mean body mass index was 22.1 ± 2.8. Tumor locations included the antrum in 61.7% (50/81), the gastric body in 9.9% (8/81), the lesser curvature in 25.9% (21/81), and the greater curvature in 2.5% (2/81). All patients successfully underwent totally laparoscopic surgery. The mean operative time was 218 ± 24 minutes. The mean time to first flatus was 2.7 ± 0.8 days. The mean number of retrieved lymph nodes was 16.0 ± 7.4. No major postoperative complications or mortality were recorded. The mean postoperative hospital stay was 8.6 ± 2.4 days. Postoperative diarrhea occurred in 4.6% of patients. 84% of patients experienced no postoperative weight loss.

Conclusion: Totally laparoscopic distal gastrectomy with D2 lymphadenectomy and preservation of the celiac branch of the vagus nerve is a safe and feasible procedure, providing favorable early postoperative outcomes.