Video-assissted thoracoscopic thymectomy: experiences from 103 Military Hospital

Abstract Introduction: Proximal gastrectomy is one of the modified surgical approaches for early gastric cancer located in the upper stomach instead of total gastrectomy. The preserving stomach helps for storage, digestion, and absorption of food and prevents anemia. Proximal gastrectomy with jejunal interinterposition has been reported to prevent and diminuate postoperative complications, such as reflux esophagitis and anastomotic stricture. Laparoscopic proximal gastrectomy (LPG) with jejunal interposition has been reported in the world with promising results. Aim of this study is to evaluate the feasibility and results of LPG with jejunal interposition for proximal early gastric cancer. Material and Methods: Descriptive...

Abstract Introduction: Patients with middle-low rectal cancer in advanced stage had many difficulties in performing laparoscopic total mesorectal excision (TME), especially in those with narrow pelvis or obese with or without neoadjuvant therapy. We conducted the study of transanal TME (TaTME) for these patients to evaluate the safety and efficacity of this technique. Material and Methods: Prospective study. Patients with middle-low rectal cancer in advanced stage underwent rectal resection with TaTME technique were enrolled. Results: 38 patients including 25 middle and 13 low rectal tumors underwent elective rectal resection by TaTME from March 2015 to September 2018. Male/female ratio: 25/13....

Abstract Introduction: Apply and assess the early results of Transanal Total Mesorectal Excision (TaTME) for mid and low rectal cancer. Material and Methods: A prospective study in 45 patients (31 men and 14 women) suffering from mid and low rectal cancer, undergoing TaTME in Department of Gastrointestinal Surgery, 108 Military Central Hospital, from July 2017 to August 2018. Results: Pre-operative stages were mrT2: 8.9%, mrT3: 66.7%, mrT4a: 11.1%; mrTx: 13.3%. mrN (+): 73.3%, mrN(-): 20%, mrNx: 6.7%. The mean age was 64.56 ± 10.97 years, the mean body mass index was 20.5 ± 2.5 kg/m2. Low rectal cancer was 60%...

Abstract Introduction: Common bile ducts stones are very common diseases in Vietnam and Southeast Aisa. The pathogenesis of the stone is associated with biliary tract infection and intestinal parasiti. The aim of study is to evaluate the results of treatment of gallstone complications by laparoscopis cholecystomy, open the bile duct for gravel, Kehr drainage. Material and Methods: Prospective study patients with complicated choledocholithiasis were treated with emergency laparoscopic choledocotomy in the first 24 hours. From May 2013 to May 2018. Results: 83patients, no cases have been converted to open choledocotomy. The mean operation time was 90,75 minutes. There was no...

Abstract Introduction: The application of robotics in endoscopic techniques becomes commonly in Vietnam. The transition from conventional surgery and laparoscopy to robotic-assisted endoscopy has its own difficulties and advantages. We summarize the experiences of training this procedure through 100 prostate cancers treated by robotic-assisted laparoscopic surgery in the Urology Department, Binh Dan Hospital, from December 2016 to June 2018. Material and Methods: This was a clinical comparative and vertical study. 100 patients diagnosed prostate cancer, staged T1 to T3 were performed robotic- assisted radical prostatectomy (RARP), with or without nerve sparing and local pelvic lymph nodes dissection. The comparison of...

Abstract Introduction: Achalasia is a primary esophageal motor disorder, which is relatively rare. Patients usually start silently and detect late for months to years. Therefore, laparoscopic Heller myotomy is now considered the surgical procedure of choice for treating achalasia. Anti-reflux procedure usually performed by surgeons is a Dor procedure because of its many advantages, and it is easy to perform in laparoscopic surgery. Purpose: The objectives of this study is to determine the incidence and complications of laparoscopic Heller myotomy and Dor fundoplication and determine percentage improvement dysphagia after surgery. Material and Methods: Patients diagnosed achalasia and underwent laparoscopic Heller...