Kết quả sớm của phẫu thuật nội soi cắt cụt trực tràng trên bệnh nhân ung thư trực tràng thấp được hóa xạ trị trước mổ tại Bệnh viện K

VIETNAM MEDICAL JOURNAL N°1 - FEBRUARY - 2018

khde d ngu'di mae benh ve xu'dng khdp tai 03

huyen chiem ty le 61,5%; eac hp gia dinh ly^

ehpn phu'dng phap Y hoc eo truyen de cham sdc

sire khde khi dieu tri benh man tinh chiem ty le

cao nhat la d gia dinh ed mu'c thu nhap tren

trung binh 27,5%; thu nhap trung binh la

24,8%; du'di trung binh lan lu'dt la 16,2%.

TAI LIEU THAM KHAO

1. Le Vu Anh va cac cpng siT (2010), Xay diTng

mo hinh nang cao siTc khde ngu'di cao tuoi thong

qua su' tham gia tich cu'c trong mpt chirong trinh

can thiep Y te cong cpng d Tien Hai, Thai Binh,

Bao cao toan van Hgi nghi khoa hoc toan quoc Hoi

Y tecong cong Viet Nam lan thu" VI, chii bien, Nha

Trana, Khanh Hoa. tr. 128-141.

2. &au Xuan Canh {20171. Truven hinh tru'e tuven:

Nhuhq sai lim khi dieu tri benh ctJ xu'tJna khdp

httD://vutm.edu.vn/vi/tin-tuc-18.nd/truven-hinh￾truc-tuven-nhunq-sai-lam-khi-dieu-tri-benh—co￾xuong-khop.html

, Dau Xuan Canh f20l7). Truven hinh tru'e tuven:

Ket hOD DSnq - Tav v hieu qua tronq dieu tri benh'

httn://vutm.edu .vn/vi/tin-tuc-18. nd/truven-hinh￾truc-tuven-ket-hoD-dong-tay-y-hieu-qua--trong￾dieu-tri-benh.html

, Nguyin The Hue (2004J^ "Thi/c trang siTc khoe

va ddi song ngu'di cao tuoi d Hai Du'dng, Quango

Binh va Dak Lak'; Tap chf Dan sd & Phat trien. 10,1

tr 12-15. ^

. Hoang Thi Hoa Ly (2015). Danh gia thu'c trang

va hieu qua can thiep Y hpc co truyen tai tuyen xa

d 3 tinh mien Trung. Luan an Tien sy Y hoc

Trirdng Oai hoc Y Ha Noi.

. Vien Chi^n lu'dc va Chinh sach y te (2016),

Nghien ciru thi/c trang va mpt so yeu to anh

hu'dng tdi sU khac biet ve thyc trang sire khoe, kliS

nan^ tiep can va sir dung dich vu y te tai 6 tinh

thuoc 6 viing kinh te xa hoi ciia Viet Nam nam

2014-2015, HSPI: Ha Npi].

. G. R. Falsarella, et al. (2013), "Prevalence and

factors associated with rheumatic diseases and

chronic joint symptoms in the elderly", Geriatr

Gerontol Int.

KET QUA SaM CUA PHAU THUAT NOI SOI CAT CUT TRIJC TRANG

TREN BENH NHAN UNG THlf TRUC TRANG THA P

DUaC HOA XA TRI TRUCTC MO TAI BENH VIEN K

TOM TAT

Muc tieu: Danh gia ket qua sdm ciia phau thuat

npi soi cat cut trifc trang dieu tri benh nhan ung thu"

tri/c trang thap dirpc hoa xa tri tru'dc mo tai benh vien

K. Doi tu'dng va phu'dng phap nghien cu'u: Mo ta

cat ngang tren 49 benh nhan ung thu" tru'e trang thap,

duHc dieu tri hoa xa dong thdi tru'dc mo va chi dinti

phlu thuat noi soi cat cut tru'e trang du'dng bung

ting sinh mon tai b§nh vien K tir 1/2015 den 7/2017.

Ket qua: Jhdi gian md 139,7 ± 29,6 (phut), co 1 Bn

tai bien ton thu'dng day bang quang, 3 tru'dng hpp

chuyen md md (do u xam lan rong), thdi gian cd nhu

dpng rupt 2,2 ± 0,9 (ngay), thdi gian diing thuoc giam

dau 3,4 ± 0,9 (ngay), thdi gian riit sone tieu la 3,3

ngay, thdi gian hau phau ia 8,6 ± 2,2 ngay. Bien

chirng sau mo 8,7%, tron^ do bi tieu gap d 2 "BN

(4(3%), 1 Bn chay mau tang sinh mon sau khi nit

meche, 1 Bn phai chuyen mo lai do tac ruot cao sau

mo 8 npay. Ket luan: PTNS la phu'dng phap ngoai

khoa hieu qua, an toan trong phau thuat dieu tri Bn

ung thutri/c trang thap da du'dc hoa xa tn tien phau.

TCfkhoa: phau thuat npi soi, ung thu'VuC trang tjiap

SUMMARY

EARLY RESULT OF ABDOMINAL PERINEAL

*Benh viin K

Chiu trach nhiem chinh: Pham Van Binh

Email: binhvaigiyahoo.fr

Ngay nhan bai: 4.11.2017

Ngay phan bien khoa hoc; 2.01.2018

Ngay duyet bai: 10.01.2018

Pham Van Binh*

RESECTION BY LAPAROSCOPIC SURGERIN I

PREOPERATIVE CHEMORADIATION |

PATIENTS AT K HOSPITAL j

Objective. Assess the earlv result of abdominati

oerineal resection fAPRl bv Laparoscopic sumery In

preoperative chemoradiation patients at K Hospital.

Methods. Cross sectional survev-with 49 preoperative

chemoradiation patients with lower rectal cancer, who

were underqone APR bv Laparoscopic suraerv at K

Hospital from Januarv/2015 to 3uly/2017. Results.

Operating duration was 139,7 ± 29,6 (mins), 1 case

was sufferred from bladder lesion in accident, 3 cases

were changed to laparotomy, bowel movement

recovery duration was 2,2 ± 0,9 (days), pain-relief

using duration was 3,4 ± 0,9 (days); urine drainage

remove time was 3,3 days, postoperative duration was

8,6 ±2,2 (days). 8.7% of postoperative complication^

induding urinary retention seen in 2 patients (4.3%),i

1 patient with perineal bleeding after withdrawal^

meche, 1 patents must be operated again due to ileus

obstruction. Conclusion. The laoanKCODie surqerv is an

effective, safe surqical approach to lower rectal cancer

patients treated preoperative chemoradiation theraoy.

Key words: Laparoscopy, Low recta! cancer.

I. OAT VAN DE

Ung thu- dai triTc trang (UTDTT) la binh ly ac

tinh ciia dai triTc trang, diing thu' 4 ve ti le mac

mdi va diJng thir 5 ve ti le ti i vong trong so cic

benh ly ae tinh thu'dng gap. Khoang mdt phan ba

trong sd dd la ung t W tri/c trang (UTTT)';