{"id":277990,"date":"2023-10-11T14:58:23","date_gmt":"2023-10-11T07:58:23","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cat-mac-treo-truc-trang-trong-phau-thuat-ung-thu\/"},"modified":"2025-11-10T11:54:44","modified_gmt":"2025-11-10T04:54:44","slug":"cat-mac-treo-truc-trang-trong-phau-thuat-ung-thu","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cat-mac-treo-truc-trang-trong-phau-thuat-ung-thu\/","title":{"rendered":"C\u1eaft m\u1ea1c treo tr\u1ef1c tr\u00e0ng trong ph\u1eabu thu\u1eadt ung th\u01b0"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em><strong>Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng<\/strong> l\u00e0 b\u1ec7nh l\u00fd \u00e1c t\u00ednh \u0111\u1ee9ng th\u1ee9 ba (chi\u1ebfm t\u1ef7 l\u1ec7 10% ) sau ung th\u01b0 v\u00fa \u1edf n\u1eef v\u00e0 ung th\u01b0 ph\u1ed5i v\u00e0 \u0111\u1ee9ng h\u00e0ng th\u1ee9 hai v\u1ec1 t\u1ef7 l\u1ec7 t\u1eed vong sau ung th\u01b0 ph\u1ed5i v\u1edbi 9,4% v\u00e0o n\u0103m 2020. T\u1ef7 l\u1ec7 m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng cao nh\u1ea5t \u1edf c\u00e1c n\u01b0\u1edbc ph\u01b0\u01a1ng T\u00e2y v\u00e0 \u00dac. T\u1ef7 l\u1ec7 n\u00e0y c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng \u1edf c\u00e1c qu\u1ed1c gia \u0110\u00f4ng \u00c2u, \u0110\u00f4ng Nam \u00c1, Nam Trung \u00c1 v\u00e0 Nam M\u1ef9. T\u1ea1i M\u1ef9, c\u00f3 147.950 ca m\u1eafc m\u1edbi ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng v\u00e0 53.200 ca t\u1eed vong v\u00e0o n\u0103m 2020. T\u1ea1i Vi\u1ec7t Nam, ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng chi\u1ebfm t\u1ef7 l\u1ec7 9%, \u0111\u1ee9ng h\u00e0ng th\u1ee9 n\u0103m sau ung th\u01b0 d\u1ea1 d\u00e0y, ph\u1ed5i, v\u00fa v\u00e0 v\u00f2m h\u1ecdng.<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/cat-mac-treo-truc-trang-1024x683-1.jpg\" alt=\"C\u1eaft m\u1ea1c treo tr\u1ef1c tr\u00e0ng trong ph\u1eabu thu\u1eadt ung th\u01b0\" class=\"wp-image-142254\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, ph\u1eabu thu\u1eadt \u0111\u00f3ng vai tr\u00f2 then ch\u1ed1t. V\u1edbi ung th\u01b0 tr\u1ef1c tr\u00e0ng, vi\u1ec7c ph\u1eabu t\u00edch c\u1eaft m\u1ea1c treo tr\u1ef1c tr\u00e0ng TME (Total Mesorectal Excision) \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ed3ng thu\u1eadn v\u00e0 ch\u1ee9ng minh v\u1ec1 m\u1eb7t ung th\u01b0 h\u1ecdc. Trong ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, Hohenberg n\u0103m 2009 l\u00e0 t\u00e1c gi\u1ea3 \u0111\u1ea7u ti\u00ean \u0111\u1ec1 c\u1eadp \u0111\u1ebfn k\u0129 thu\u1eadt v\u00e9t h\u1ea1ch b\u1eb1ng c\u1eaft to\u00e0n b\u1ed9 m\u1ea1c treo \u0111\u1ea1i tr\u00e0ng (Complete Mesocolic Excision &#8211; CME).\u00a0V\u1edbi kh\u1ea3 n\u0103ng n\u1ea1o v\u00e9t h\u1ea1ch t\u1ed1t h\u01a1n nhi\u1ec1u so v\u1edbi ph\u1eabu thu\u1eadt kinh \u0111i\u1ec3n, ph\u1eabu thu\u1eadt c\u1eaft \u0111\u1ea1i tr\u00e0ng k\u00e8m c\u1eaft to\u00e0n b\u1ed9 m\u1ea1c treo \u0111\u1ea1i tr\u1ef1c tr\u00e0ng \u0111ang tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn h\u01a1n. Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt tri\u1ec7t \u0111\u1ec3, d\u1eabn \u0111\u1ebfn gi\u1ea3m t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t t\u1ea1i ch\u1ed7 t\u1eeb 6,5% xu\u1ed1ng 3,6% v\u00e0 c\u1ea3i thi\u1ec7n th\u1eddi gian s\u1ed1ng th\u00eam t\u1eeb 82,1% l\u00ean 89,1% sau 5 n\u0103m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ede Vi\u1ec7t Nam, trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, c\u00e1c trung t\u00e2m ph\u1eabu thu\u1eadt l\u1edbn nh\u01b0 TP.HCM, H\u00e0 N\u1ed9i, Hu\u1ebf, v.v. c\u0169ng \u0111\u00e3 \u00e1p d\u1ee5ng v\u00e0 c\u00f3 nhi\u1ec1u b\u00e1o c\u00e1o v\u1ec1 k\u1ef9 thu\u1eadt n\u00e0y. T\u1ea1i B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf Ho\u00e0n M\u1ef9 Vinh, ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft \u0111\u1ea1i tr\u00e0ng k\u00e8m to\u00e0n b\u1ed9 m\u1ea1c treo \u0111\u01b0\u1ee3c di\u1ec5n ra th\u01b0\u1eddng quy, mang l\u1ea1i hi\u1ec7u qu\u1ea3 cao cho nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh. \u0110\u00e2y l\u00e0 th\u00e0nh qu\u1ea3 c\u1ee7a s\u1ef1 n\u1ed7 l\u1ef1c v\u00e0 \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n c\u1ee7a \u0111\u1ed9i ng\u0169 B\u00e1c s\u0129 nh\u1eb1m mang \u0111\u1ebfn nhi\u1ec1u hy v\u1ecdng cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng may m\u1eafc ph\u1ea3i c\u0103n b\u1ec7nh n\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/em><\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\">\n<li><em>\u0110\u1eb7ng Ng\u1ecdc H\u00f9ng, \u0110\u1eb7ng Nh\u01b0 Th\u00e0nh, Tr\u1ea7n An Phong. K\u1ebft qu\u1ea3 b\u01b0\u1edbc \u0111\u1ea7u ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft \u0111\u1ea1i tr\u00e0ng ph\u1ea3i do ung th\u01b0 theo ph\u01b0\u01a1ng ph\u00e1p c\u1eaft b\u1ecf ho\u00e0n to\u00e0n m\u1ea1c treo \u0111\u1ea1i tr\u00e0ng (CME) t\u1ea1i B\u1ec7nh vi\u1ec7n Trung \u01b0\u01a1ng Hu\u1ebf. T\u1ea1p ch\u00ed y h\u1ecdc l\u00e2m s\u00e0ng. 2019;55:140\u20136.<\/em><\/li>\n\n\n\n<li><em>Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209\u201349.<\/em><\/li>\n\n\n\n<li><em>Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S. Standardized surgery for colonic cancer: Complete mesocolic excision and central ligation &#8211; Technical notes and outcome. ColorDis. 2009;11(4):354\u201364.<\/em><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng l\u00e0 b\u1ec7nh l\u00fd \u00e1c t\u00ednh \u0111\u1ee9ng th\u1ee9 ba (chi\u1ebfm t\u1ef7 l\u1ec7 10% ) sau ung th\u01b0 v\u00fa \u1edf n\u1eef v\u00e0 ung th\u01b0 ph\u1ed5i v\u00e0 \u0111\u1ee9ng h\u00e0ng th\u1ee9 hai v\u1ec1 t\u1ef7 l\u1ec7 t\u1eed vong sau ung th\u01b0 ph\u1ed5i v\u1edbi 9,4% v\u00e0o n\u0103m 2020. T\u1ef7 l\u1ec7 m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":277991,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-277990","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-vinh___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277990","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=277990"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277990\/revisions"}],"predecessor-version":[{"id":303550,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277990\/revisions\/303550"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/277991"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=277990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=277990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=277990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}