LAPAROSCOPIC LEFT HEMICOLECTOMY FOR LEFT COLON CANCER AT HUE CENTRAL HOSPITAL

Abstract

Perpose: Evaluation of clinic, subclinic characteristics and results from laparoscopic left hemicolectomy for left colon cancer at Hue Central Hospital. Metholds: Consist of 45 patients with left colon cancer who were operated to laparoscopic left hemicolectomy, sigmoidectomy and lymphadectomy at Hue Centre Hospital from september 2007 to september 2010. Results: Age: average 57,2 ± 16,8, the most age range from 40 - 60, to take 51,1%. Sex: male 62,2%, female 37,8%, rate male/female 1,65/1. The most symptom was abdominal pain 93,3%, alimentary disorder 31,1%, blood stool 53,3%, touch up the tumors 13,3%. Colonoscopy: malignant ulcer tumors were highest rate 42,2%, tumor positions at sigmoid colon 60,9%. Laparoscopic sigmoidectomy 62,2%, left hemicolectomy 17,8%, size of the tumor upper 5 cm was 60,8%. Third stage of TNM 64,4% and adenocarcinoma was 97,8%. Elevation of CEA serum level upper 5ng/ml: Preoperative was 57,8%, postoperative of three months was 25,8%, postoperative of six months was 33,3%. Wound infection was 4,4%, anastomotic leakage 2,2%, and without reoperative case and without surgical mortality. Conclusions: Laparoscopic left hemicolectomy for left colon cancer is safe, feasible, few complications and its advantages.