Y học lâm sàng & Ca bệnh

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...

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: 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: 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...

Tóm tắt Đặt vấn đề: Đánh giá kết quả bước đầu về tính an toàn, tính hiệu quả của sau tĩnh mạch chủ dưới phương pháp nội soi sau phúc mạc điều trị niệu quản sau tĩnh mạch chủ dưới. Phương pháp nghiên cứu: Nghiên cứu mô tả 16 bệnh nhân (10 nam và 6 nữ) được mổ nội soi sau phúc mạc (NSSPM) điều trị niệu quản (NQ) sau tĩnh mạch Bệnh viện Đại học Y Hà Nội, chủ dưới (TMCD) từ tháng 1/2014 đến 12/2018 tại Bệnh viện Hữu nghị Việt Số 1, Tôn Thất Tùng, Đống Đa,...

Tóm tắt Đặt vấn đề: Nghiên cứu đặc điểm cận lâm sàng và phân tích chỉ định phẫu thuật nội soi (PTNS) điều trị u tuyến thượng thận (TTT) lành tính không triệu chứng. Phương pháp nghiên cứu: Nghiên cứu tiến cứu 64 người bệnh (NB) u TTT lành tính không triệu chứng được điều trị bằng PTNS tại Bệnh viện Hữu nghị Việt Đức từ tháng 10/2015 đến tháng 10/2018. Kết quả: Tuổi trung bình 45,7. Nam/nữ: 3/5. Kích thước u trung bình 3,0 ± 2,1 cm. 57,8% u không hoạt động nội tiết. 73,4% u tuyến vỏ thượng...

Abstract Introduction: Laparoscopic cholecystectomy (LC) has been considered as main treatment for acute cholecystitis due to gallstones. However, LC is not entirely safe for patients with severe comorbidities, high risk of surgery. In such circumstances, two-stage treatment including percutaneous transhepatic gallbladder drainage (PTGBD) first and then LC is an appropriate choice. PTGBD followed by LC or LC after PTGBD might be technically difficult. This article was written to evaluate the feasibility and the safety of PTGBD followed by LC (PTGBD + LC). Materials and Methods: This case series report was conducted on patients who underwent PTGBD + LC in University...

Abstract Introduction: To describe clinical and para-clinical characteristics of bile duct stones and results of laparoscopic choledochotomies in management of bile duct stones. Materials and methods: Retrospective and prospective study in 152 bile duct stones patient, who underwent laparoscopic choledochotomy with or without usage of flexible bile ducts scope and electrohydraulic technique, from January 2009 to May 2019 at Hue Central Hospital. Results: Mean age 54,2 (22 - 84), 66 male and 86 female, mean operative time: 135 minutes (90 - 235), intraoperative complications: 3,29%, open conversion: 5,92%. Complete stone clearance was achieved in 91,6% patients. Postoperative complications: 7,69%. Conclusions:...

Abstract Introduction: To evaluate early results of minimally invasive esophagectomy for esophageal cancer in Abdominal Surgery Department II at National K Hospital. Materials and methods: 130 patients with esophageal cancer underwent thoraco-laparoscopic esophagectomy - also was known as minimally invasive esophagectomy (MIE) - and gastric - tube reconstruction in Abdominal Surgery Department II at National K Hospital from 10/2017 to 7/2020. Descriptive study, patients were observed during hospitalization. Results: Mean age 56,8 ± 6,77 (min 35 - max 72), lymph node metastasis was 17,8%, T1 was 35,6%, T2 was 48,9% and T3 was 15,5%, squamous cell carcinoma accounted for 97,7%....

Tóm tắt Đặt vấn đề: Tại Bệnh viện Hữu Nghị Việt Đức trong những năm gần đây có một số lượng lớn người bệnh được điều trị các bệnh lý khớp vai bằng phẫu thuật nội soi. Trong đó bệnh lý hẹp khoang dưới mỏm cùng vai (subacromial impingement pathology) cũng được điều trị theo phương pháp phẫu thuật nội soi tạo hình khoang dưới mỏm cùng vai. Để đánh giá kết quả điều trị chúng tôi tiến hành nghiên cứu đề tài với mục tiêu: Mô tả đặc điểm lâm sàng, chẩn đoán hình ảnh và đánh giá kết...