Y học cổ truyền & Liệu pháp bổ sung

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 aim of this study is to compare the outcomes of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy between adults and children Material and Methods: A prospective study of 19 adults and 51 children with choledochal cyst treated by laparoscopic surgery at Hue Central Hospital from 1/2012 to 12/2017. Results: The average operative time was 219.79 ± 64.88 minutes. The average operative time in adults was longer than in children (233.42 vs 219.79 minutes). There was a statistically significant difference between two groups. Intraoperative blood transfusion was required in two patients in children group. The time from surgery...

Abstract Background: Currently Heller - Toupet procedure is the main method for achalasia. The aim of this study was to evaluate surgical outcomes of laparoscopic Heller - Toupet surgery for achalasia. Materials and methodology: This is a retrospective case series conducted at Gastrointestinal Department - Viet Duc Hospital University and Department of General Surgery - Hanoi Medical University Hospital between January 2015 and August 2020, including 71 patients with achalasia who underwent laparoscopic Heller - Toupet surgery. The research contents included clinical and paraclinical features, surgical techniques, perioperative and postoperative complications, and long-term outcomes. Results: In total, 71 patients with...

Abstract Introduction: Post-traumatic pleural empyema tends to increase in recent years, related to the severity of chest trauma and postoperative care. There are very few studies on this type of disease. The study aims to describe some etiological, clinical, and paraclinical characteristics and evaluate early results of endoscopic thoracic surgery to treat this disease. Patients and Methods: A retrospective descriptive study of cases with a confirmed diagnosis of post-traumatic empyema and treated by thoracoscopic surgery, at the Cardiovascular and Thoracic Center, Viet Duc university hospital, from January 2017 to April 2021. Results: Including 52 patients, with 46 men - 6...

Abstract Introduction: This study aims to evaluate the effectiveness and safety of the percutaneous biliary stent placement for malignant hilar biliary obstruction (MHBO). Patients and Method: Percutaneous biliary stent was placed in 50 patients with MHBO at Viet Duc University Hospital from June 2019 to July 2020. The patients were monitored during their hospitalization, at 1-month and long-term follow-up on clinical symptoms and laboratory results as well as complications. The effect and safety of this technique were evaluated. Results: Successful rate was 98%. The total serum bilirubin decreased from 280.06 ± 164.65 µmol/L before to 165.09±112.90 µmol/L one week later...

Tóm tắt Xơ cơ ức đòn chũm bẩm sinh gây ra bởi sự xơ hóa một hoặc cả hai bó của cơ này, trong một số trường hợp có thể gặp xơ hóa kèm theo của các tổ chức xung quanh như cơ bám da cổ, cơ bậc thang hoặc biến dạng của cột sống cổ. Phương pháp điều trị phẫu thuật kinh điển là mở các đường rạch ở vùng cổ mặt để giải phóng điểm bám của cơ. Các đường rạch này luôn để lại sẹo ở vùng dễ nhìn thấy gây ảnh hưởng lâu dài đến thẩm...

Tóm tắt Đặt vấn đề: Gây mê toàn thể và phẫu thuật nội soi ổ bụng làm chức năng hô hấp suy giảm do giảm dung tích cặn chức năng, xẹp phổi và thậm chí là tổn thương phổi liên quan đến thở máy[1-3]. Các chiến lược thông khí nhằm bảo vệ phổi và cải thiện oxy hóa máu trong phẫu thuật đã được nghiên cứu trong đó có nghiệm pháp huy động phế nang. Tuy nhiên, kết quả các nghiên cứu còn chưa thống nhất, vì vậy chúng tôi thực hiện đề tài này với câu hỏi nghiên cứu:...

Abstract Introduction: The posterior interosseous nerve (PIN) is the terminal branch of the deep branch of the radial nerve. It providing movement for the posterior forearm, controlling extension of the wrist and fingers. PIN injury severely affects hand function so it should be diagnosed and repaired promptly. Microsurgical repair of the PIN will recover the best results. The purpose of this study: evaluate the efficient of repairing posterior interosseous nerve by microsurgery. Patients and methods: Retrospective and prospective study base on 21 patients with PIN injury who was performed microsurgery repair from 2018 to 2022. Assessment of recovery outcomes by...

Abstract Introduction: Small bowel tumor is a rare disease, mainly malignant, with diverse clinical morphology. This study aims to describe the clinical, para-clinical morphology, pathology, and early outcomes of surgical treatment for patients with small bowel tumor at Viet Duc University Hospital. Patients and methods: Descriptive retrospective study, patients with small bowel tumors were operated at Viet Duc University Hospital from January 2015 to December 2020. Results: 64 patients (mean age 54.12 ± 15.49, 30 men, 34 women) underwent surgery at Viet Duc University Hospital from January 2015 to December 2020. Acute form: 32.1%. Chronic clinical forms: 62.5%. Malignant tumors...

Abstract Introduction: Laparoscopic surgery of postoperative small bowel obstruction had been put into practice. There were some studies on the results in this issue for post appendectomy and gynecology or post cholecystectomy but the results in surgery post upper and/or lower median incision and post cancer digestive or post malignant intra- abdominal operations have not been much studied. In National Cancer Hospital as known as K hospital, laparoscopic surgery of post operative small bowel obstruction due to strangulation , volvulus or simple adhesion (short adhesion) have not been put into operation up to now. We therefore conducted our retrospective study...