ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT BÁN PHẦN DƯỚI DẠ DÀY ĐIỀU TRỊ UNG THƯ DẠ DÀY TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To evaluate the early outcomes of totally laparoscopic distal gastrectomy with intracorporeal gastrojejunostomy for the treatment of gastric cancer. Methods: A prospective, descriptive study was conducted on 41 patients with gastric cancer who underwent totally laparoscopic distal gastrectomy with intracorporeal gastrojejunostomy at Military Hospital 103 from October 2024 to May 2026. Results: Billroth II reconstruction was performed in 41.5% of patients, while Roux-en-Y reconstruction accounted for 58.5%. The mean operative time was 181.1 ± 50.6 minutes, the mean estimated blood loss was 29.8 ± 16.4mL, and the mean number of harvested lymph nodes was 21.3 ± 9.7. No conversion to open surgery was recorded. Intraoperative complications occurred in 9.8% of cases, and postoperative complications occurred in 7.3%. Neither anastomotic leakage nor duodenal stump leakage was observed in this study. The mean postoperative hospital stay time was 9.6 ± 2.1 days. Conclusion: Totally laparoscopic distal gastrectomy with intracorporeal gastrojejunostomy is a safe and feasible technique for the treatment of gastric cancer, providing favorable early postoperative recovery with acceptable rates of intraoperative and early postoperative complications.