EFFECTIVENESS OF ONE-STAGE RIGHT HEMICOLECTOMY IN THE MANAGEMENT OF BOWEL OBSTRUCTION DUE TO COLON CANCER AT THONG NHAT HOSPITAL

Đỗ Duy Đạt 1 , , Hồ Hữu Đức 1 , Hoàng Anh Bắc 1 , Nguyễn Văn Hưng 2
1 Thong Nhat Hospital
2 Vietnam National University Ho Chi Minh City
* Corresponding author:

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DOI
10.63947/bvtn.v1i2.10
Published
2025-06-15
Issue Vol. 1 No. 2 (2025): Aging Population and Healthcare Challenges
Section
Original Paper
Categories
Research

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1.
Duy Đạt Đỗ, Hữu Đức H, Anh Bắc H, Văn Hưng N. EFFECTIVENESS OF ONE-STAGE RIGHT HEMICOLECTOMY IN THE MANAGEMENT OF BOWEL OBSTRUCTION DUE TO COLON CANCER AT THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2025 Jun. 15 [cited 2025 Jun. 23];1(2):78–82. https://tcsuckhoelaohoa.vn/bvtn/article/view/41 doi: 10.63947/bvtn.v1i2.10
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Abstract

Bowel obstruction due to colorectal cancer is a common emergency complication, especially in elderly patients with multiple comorbidities, requiring optimal surgical treatment decisions to improve clinical outcomes.To evaluate the effectiveness of one-stage right hemicolectomy with primary anastomosis in the management of bowel obstruction due to colon cancer at Thong Nhat Hospital. A retrospective and prospective descriptive case series study was conducted on 48 patients with bowel obstruction due to right-sided colon cancer who underwent one-stage right hemicolectomy with primary anastomosis at Thong Nhat Hospital from January 2019 to December 2024. Evaluation parameters included clinical characteristics, surgical methods, complications, and early treatment outcomes. The mean age of patients was 62.3 ± 13.2 years, with males accounting for 58.7%. Laparoscopic surgery was performed in 17 cases (35.4%) and open surgery in 31 cases (64.6%). The overall early complication rate was 16.7%, with the laparoscopic group showing a lower rate than the open surgery group (5.9% vs 22.6%). Mean hospital stay in the laparoscopic group was significantly shorter than the open surgery group (7.8 ± 2.4 vs 10.2 ± 3.5 days). The anastomotic leak rate was 2.1% and mortality rate was 2.1%. One-stage right hemicolectomy with primary anastomosis is a safe and effective method for treating bowel obstruction due to colon cancer. Laparoscopic surgery showed better outcomes regarding recovery time and reduced complications compared to open surgery.

Keywords

bowel obstruction colon cancer laparoscopic surgery right hemicolectomy primary anastomosis

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