AbstractIntroduction: Percutaneous transhepatic gallbladder drainage (PTGBD) is a safe, effective initial treatment for acute cholecystitis in high-risk patients. Laparoscopic cholecystectomy (LC) is the definitive treatment. This study evaluates the feasibility and optimal timing of LC post-PTGBD at Le Van Thinh Hospital, as outcomes may be similar regardless of surgical timing. Patients and Methods: A prospective descriptive case series was conducted from January 2022 to June 2024 at the General Surgery Department of Le Van Thinh Hospital. Patients diagnosed with grade II, III acute calculous cholecystitis who underwent PTGBD followed by LC were included. Patients were categorized into two groups based...

AbstractKidney transplantation (KT) provided the best outcomes for patients with end-stage renal disease. Inverted kidney transplantation in which the renal pelvis orientation is reversed upward, is a technique initially used for right kidney transplants with short renal veins placed into the right iliac fossa. Consequently, the use of inverted KT was limited to cases of severe iliac atherosclerosis. This study evaluates the outcomes of inverted KT in patients with iliac atherosclerosis. We retrospectively analyzed three patients who underwent inverted KT from living donors at Viet Duc University Hospital due to iliac atherosclerosis. We performed the vessel anastomoses at the non-atherosclerotic...

Abstract Introduction: The anatomical variations of the hepatic artery are a critical consideration in liver transplantation, impacting both surgical planning and postoperative outcomes. This study aimed to identify and classify hepatic artery variations in liver grafts procured from brain-dead donors at Viet Duc Hospital and to evaluate their implications for transplantation. Patients and Methods: Data were collected retrospectively from 2011 to 2016 and prospectively from 2017 to 2020, covering 53 liver grafts obtained from brain-dead donors. Results: Anatomical variants were categorized according to Hiatt’s classification and additional atypical patterns, with Type 1 (67.9%) being the most common, followed by Type...

Abstract Introduction: The application of 3D technology in laparoscopic surgery is increasingly prevalent. While other medical specialties have shown benefits of 3D over traditional 2D laparoscopic surgery, its use in inguinal hernia repair remains less well-documented. Patients and Methods: This prospective, descriptive study included 60 patients diagnosed with inguinal hernia, who underwent 3D laparoscopic surgery at Hue Central Hospital and its Branch 2, from October 2022 to May 2024. Patients were divided into two groups: 30 patients underwent the Transabdominal Preperitoneal (TAPP) approach, including emergency cases, and 30 patients the Totally Extraperitoneal (TEP) approach. Results: The average operative times for...

Abstract Introduction: Laparoscopic-assisted pancreaticoduodenectomy is a complex surgical procedure associated with a high rate of complications, particularly those arising from anastomotic leakage. The combination of laparoscopic dissection and resection with a mini-laparotomy for specimen retrieval and anastomosis construction is thought to potentially reduce perioperative morbidity. Patients and Methods: A cross-sectional descriptive case series was conducted involving 18 patients who underwent laparoscopically-assisted pancreaticoduodenectomy at the Department of Gastrointestinal Surgery, Viet Duc University Hospital, during the period from 2023 to 2025. Results: A total of 18 patients underwent laparoscopic-assisted pancreaticoduodenectomy. Among these, 55.6% were diagnosed with ampullary adenocarcinoma, 22.2% with solid pseudopapillary...

Tóm tắt Đặt vấn đề: Phân tầng nguy cơ người bệnh trước mổ thủng ổ loét dạ dày tá tràng (Perforated peptic ulcer – PPU) là cực kỳ quan trọng trong tiên lượng bệnh. Mục tiêu của nghiên cứu nhằm dự đoán tỷ lệ tử vong và biến chứng sớm 30 ngày sử dụng thang điểm PULP (Peptic Ulcer Perforation), so sánh tính khả dụng với các hệ thống điểm khác như ASA, Boey. Đối tượng và phương pháp nghiên cứu: Nghiên cứu quan sát hồi cứu trên 39 người bệnh được thực hiện từ tháng 04/2024 đến tháng 10/2024...

Tóm tắt Đặt vấn đề: người bệnh u quanh bóng Vater có tăng bilirubin máu trên 15 mg/dl, không kèm rối loạn các cơ quan cần nâng đỡ hỗ trợ, có thể được phẫu thuật cắt khối tá tuỵ mà không cần dẫn lưu đường mật trước phẫu thuật. Đối tượng và phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả hàng loạt ca. Tất cả người bệnh có u quanh bóng Vater, bilirubin máu trên 15 mg/dl, được điều trị phẫu thuật cắt khối tá tuỵ tại bệnh viện Chợ Rẫy từ tháng 02/2023 đến tháng 10/2024. Kết...

Abstract Introduction: Endoscopic microvascular decompression (MVD) with intraoperative neurophysiological monitoring (IONM) is increasingly being adopted as the standard approach for treating neurovascular compression syndromes in the cerebellopontine angle. This study aims to evaluate the initial outcomes of the first five cases of endoscopic MVD with IONM. Materials and Methods: This prospective study included the first five cases of endoscopic MVD with IONM performed for trigeminal neuralgia and hemifacial spasm at the Department of Neurosurgery – Spine surgery, Hanoi Medical University Hospital between September 2024 and February 2025. The neurophysiological monitoring techniques used included brainstem auditory evoked potentials (BAEP), brainstem trigeminal...

AbstractIntroduction: Laparoscopic liver resection is a challenging procedure, yet it is increasingly applied in the treatment of hepatocellular carcinoma (HCC), including our center. Our aim is to evaluate the impact of laparoscopic hepatectomy for hepatocellular carcinoma regarding the long-term outcomes. Patients and Methods: A combined retrospective-prospective cohort study of 41 HCC patients who underwent laparoscopic hepatectomy at the Organ Transplantation Center, Viet Duc University Hospital from January 2019 to December 2023. Results: Liver resection for tumors >5 cm accounted for 24.4%, with 63.4% of cases classified as high difficulty (Ban Daisuke score). The mean operative time was 192 minutes, and...

Abstract Although continuous spinal anesthesia (CSA) was introduced nearly a century ago, its clinical use remains limited due to concerns about safety and potential complications. However in carefully selected high-risk patients, CSA may provide a valuable alternative to general or epidural anesthesia. This article presents a clinical case involving a patient with severe pulmonary (tuberculosis complicated by hemoptysis, a significant history of smoking, chronic obstructive pulmonary disease (COPD), and severe pulmonary emphysema) and cardiovascular (stable angina and 70% stenosis of the left descending artery) comorbidities undergoing colostomy closure surgery. In this context, general anesthesia posed significant risks such as difficult...