The article was written by Dr. Prof Nguyen Ngoc Thang of the gastroenterology department at Vinmec International Hospital Da Nang.
Ms. Nguyen Thi Thanh, who was born in Thang Binh, Quang Nam, in 1954, had stomach cancer, but Vinmec Danang International General Hospital quickly identified it. The threatening condition was promptly reversed with meticulous regimens, allowing her to recover and resume normal activities.
Early detection of stomach cancer results in patients receiving highly effective treatments.
Since the beginning of 2018, Ms. Thanh has been treated for stomach ulcers. She underwent an endoscopy at a major hospital in March 2019 after experiencing stomach pain, and the results revealed antral ulcer, minor dysplasia, and ongoing medication. However, the illness persisted, and in the middle of May 2019, Ms. Thanh traveled to Vinmec Da Nang.
The patient had undergone an endoscopy three months prior, but the gastroenterology specialists at Vinmec Da Nang continued to perform gastroscopy and biopsies to look for ulcers in addition to them. Patients with Helicobacter pylori chronic gastric ulcers also develop weakly differentiating ring cell cancer. We determined the patient had stage 2A stomach cancer using additional information and other data.
Since stage 2A stomach cancer is treatable and in an early stage, patients are given the curettage treatment approach, which allows for the total removal of the tumor to reduce local metastasis or recurrence, extensive lymphadenectomy was performed. The patient has gained 3 kg so far after being released from the hospital for more than a month, and their diet is almost regular. The re-results examination revealed that Ms. Thanh's health was stable, but she was still under the oncologist's care and receiving further medication after surgery to prevent the disease from returning.
Treatment of stomach cancer with a methodical and international standard protocol
Following a meeting with the tumor board, Vinmec Danang International General Hospital recommended a laparoscopic partial gastrectomy, D2 lymph node dissection, and postoperative chemotherapy.
Prior to receiving treatment, hospitalized patients receive intensive care to lay the best possible health foundation and help them respond well to treatment. This care includes rehydrating with fluids, electrolytes, and proteins as well as screening for comorbidities to determine the best course of action.
On May 23, 2019, the surgery was successfully completed.
Laparoscopic D2 lymphadenectomy and partial gastrectomy were used during the procedure.
Intraoperative assessment No metastases, clear abdominal cavity, and inflammatory lesions invading the antrum and small curvature angle.
Following a 24-hour recovery period from surgery, the patient had the gastric tube removed and the abdomen was emptied. Porridge can be consumed by the patient 48 hours following surgery.
Following surgery, pathology 5/5 negative lymph nodes and poorly differentiated ring cell carcinoma indicate that the disease has not spread.
Five notable distinctions in the way Vinmec Hospital treats stomach cancer.
- First: Using a new generation NBI endoscope and gastrointestinal endoscopy techniques, a biopsy of the suspicious lesion allowed for the early detection of gastric cancer in the patient. This is a very useful technique for detecting stomach cancer, especially when there has been a history of illnesses like stomach ulcers or HP bacteria.
- Second: Ms. Thanh underwent laparoscopic surgery, a minimally invasive procedure with small incisions, high aesthetics, and minimum postoperative pain, despite having an old incision from open surgery for appendicitis 10 years prior. Compared to the conventional open surgery approach, the rate of postoperative problems following surgery, such as wound infection and abdominal wall hernia, is low.
- Third: A new technology stapler machine is used to suture the gastrointestinal tract, which has several benefits like speeding up operation and lowering porosity levels. The time is also shortened as a result of these benefits. hospitalization following surgery.
- Fourth: The erector vertebral plane is anesthetized on both sides to provide the patient with postoperative pain management. The world has greatly admired and learned from Vinmec's application of the first cutting-edge non-morphine pain treatment technique. This technique not only aids patients in becoming pain-free immediately following surgery, but also reduces the chance of persistent pain (after several months following surgery) (in the long term).
- Fifth: Patients can apply for the Early Recovery After Surgery (ERAS) program, which was initially implemented at Vinmec Hospital in Vietnam. With this program, the postoperative period following surgery can be shortened from 10 to 12 days to just 7. Patients can depart from the hospital early and remain healthy as a result.
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