Số 03 - Tập 14

Abstract Introduction: Pancreatic cancer is associated with poor outcomes, and surgery is the only curative treatment for pancreatic head cancer, though prognostic factors are limited. This study aims to evaluate the effectiveness of the Prognostic Nutritional Index (PNI) in predicting outcomes in a Vietnamese population undergoing the Whipple procedure. Patients and Methods: A total of 89 patients who underwent the Whipple procedure for pancreatic head cancer between January 2013 and August 2020 at Viet Duc University Hospital were included. The patients were classified into two groups based on their PNI: <50 and ≥ 50. Results: Statistically significant differences were observed...

Abstract Introduction: Lesions in the petrous apex region present a significant challenge for surgeons due to the deep location at the skull base and complex anatomical relations. The Kawase approach, or partial resection of the anterior petrous temporal bone, though widely adopted worldwide, remains under-researched in Vietnam. Patients and Methods: A cross-sectional descriptive study was conducted on 25 patients treated surgically using the Kawase approach at Viet Duc University Hospital from January 2022 to May 2024 Results: The average age was 53.9 years, with a male/female ratio of 1/5,25. Clinical symptoms included: Trigeminal nerve pain/numbness (60%), headaches (52%), and dizziness...

Abstract Introduction: Superior mesenteric venous thrombosis (SMVT) is a complication of intra-abdominal venous disease that poses a serious risk to patients. It is one of the significant causes of acute intestinal ischemia, accounting for approximately 16% of total cases. Recent research and treatment experiences have improved the diagnosis and treatment of SMVT, particularly due to advancements in imaging technology and enhanced medical knowledge. This report describes two cases of irreversible intestinal ischemia caused by superior mesenteric venous thrombosis from different etiologies, treated with surgical resection of the affected bowel segment combined with anticoagulation therapy. Early diagnosis and combined treatment, priority...

Abstract Introduction: To evaluate and analyze the initial experience of robot-assisted radical nephrectomy (RARN) at Binh Dan Hospital. Patients and Methods: We retrospectively analyzed data from 46 patients diagnosed with renal tumors who underwent RARN at Binh Dan Hospital from January 2023 to May 2024. Clinical characteristics, surgical procedures, and complications were recorded and analyzed. Results: 46 patients (29 males, 17 females, median age 58 years, range 48 to 69) were treated. The median tumor diameter was 68 mm with 24, 20 and 2 patients were classified into cT1N0M0, cT2N0M0 and cT3aN0M0, respectively. No patients required conversion to open surgery,...

Abstract Introduction: It remains controversial whether mesh should be fixed during totally extraperitoneal inguinal hernia repair. This prospective study was done to determine the outcomes of patients undergoing totally extraperitoneal (TEP) inguinal hernia repair without mesh fixation. Patients and Methods: This was a prospective study on 250 patients with 289 inguinal hernias who underwent TEP repair without mesh fixation between January 2020 and December 2020 with an average of forty-two months postoperative follow - up at the Department of General Surgery, Can Tho General Hospital, Viet Nam. Results: The mean age was 52.95 ± 17.75 years. There were 282 primary,...

Abstract Introduction: Renal cell carcinoma (RCC) is the most common type of renal cancer. Nowadays, most tumors are discovered incidentally at an early stage, thus changing the overall prognosis of the disease. Histological prognostic factors have been accepted as major prognostic factors for decades however, the predictive value of microvascular invasion (MVI) remains debatable. We performed this study to evaluate the prognostic role of MVI in RCC. Patients and Methods: A cohort study, including 191 RCC patients undergoing laparoscopic retroperitoneal radical nephrectomy from January 2013 to April 2021 at Viet Duc University Hospita. Results: the rate of microvascular invasion was...

Abstract Introduction: Although laparoscopic cholecystectomy has been considered to have more advantages than open cholecystectomy, the incidence of bile duct injury still remains high. One of the reasons reported is biliary ductal anomalies, especially extrahepatic bile duct. We reported two cases in which the patients had the right posterior sectional duct entering the cystic duct. Bail-out procedure (fundus-first technique) was performed for both cases and the patient were discharged safely without bile duct injury. Keyword: biliary ductal anomalies, variant biliary anatomy, bile duct injury. References Brunt, L.M., et al., Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus...

Abstract Introduction: The quality of lymph node dissection plays an important role in laparoscopic pancreaticoduodenectomy for periampullary cancers and significantly affects the patient's survival. Among the degrees of lymphadenectomy, the standard level is routinely performed in a range of centers. Therefore, it is necessary to evaluate the results of standard lymphadenectomy in laparoscopic pancreaticoduodenectomy for periampullary cancers. Patients an Methods: This is a cross-sectional study. We analyzed the data from 65 cases witnessing laparoscopic pancreaticoduodenectomy with standard lymphadenectomy due to periampullary cancers from February 1st, 2017 to January 31st, 2022, at University Medical Center at Ho Chi Minh City. Results:...