EVALUATION OF EARLY AND MID-TERM OUTCOMES OF LAPAROSCOPIC RIGHT HEMICOLECTOMY WITH LYMPH NODE DISSECTION IN ELDERLY PATIENTS

Đỗ Duy Đạt 1 , , Hồ Lê Bảo 1 , Nguyễn Văn Hưng 1
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DOI
10.63947/bvtn.v2i6.6
Published
2026-02-27
Issue Vol. 2 No. 6 (2026): Thách thức trong lão khoa 2026: Những giải pháp điều trị và chăm sóc toàn diện
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Original Research
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Research

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Duy Đạt Đỗ, Lê Bảo H, Văn Hưng N. EVALUATION OF EARLY AND MID-TERM OUTCOMES OF LAPAROSCOPIC RIGHT HEMICOLECTOMY WITH LYMPH NODE DISSECTION IN ELDERLY PATIENTS. JHA [Internet]. Vietnam; 2026 Feb. 27 [cited 2026 Mar. 15];2(6):35–39. https://tcsuckhoelaohoa.vn/bvtn/article/view/149 doi: 10.63947/bvtn.v2i6.6
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Abstract

To evaluate the safety and mid-term outcomes of laparoscopic right hemicolectomy in elderly patients (≥65 years old). A retrospective descriptive study was conducted on 52 patients aged ≥65 years who underwent laparoscopic radical right hemicolectomy with lymph node dissection at Thong Nhat Hospital from 01/2020 to 01/2025. Data analysis was performed using SPSS software version 25.0. The early complication rate was 15.4%, and the 30-day mortality rate was 1.9%. The median number of harvested lymph nodes was 13.2 (92.3% of patients had ≥12 nodes). The 36-month disease-free survival (DFS) and overall survival (OS) rates were 62.5% and 68.9%, respectively. Only 55.6% of indicated patients completed the adjuvant chemotherapy regimen. Laparoscopic right hemicolectomy is a safe, feasible, and oncologically sound procedure for elderly patients. The mid-term survival outcomes were impacted by a low adjuvant chemotherapy completion rate.

Keywords

laparoscopic surgery right hemicolectomy elderly patients colon cancer survival

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