Số 03 - Tập 11

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 achalasia were...

Objective: This study aimed to identify the risk factors for anastomotic leakage after laparoscopic (intracorporeal) colorectal anastomosis with a double stapling technique at University Medical Center (UMC), Ho Chi Minh City. Patients and Methods: Retrospective study. Between 2008 and 2014, a total of 227 patients underwent laparoscopic rectal resection including anterior and low anterior resection. We identified risk factors for anastomotic leakage after using double stapling technique in laparoscopic rectal resection by univariate analysis. Results: There were 227 patients enrolled in study, male accounted for 51%, median age was 67. The location rate of a tumor above the anterior peritoneal...

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 women, the...

Trigeminal neuralgia (TN) secondary to vertebrobasilar dolichoectasia (VBD) was a rare condition with limited cases reported in the medical literature. This paper reported two successful cases of endoscopic-assisted microvascular decompression (MVD) for TN secondary to VBD. Case presentation no. 1: A 53-year-old male with a history of myocardial infarction and heart failure was diagnosed of left trigeminal neuralgia V2 and V3 for three years. The pain did not respond to medical therapy with Tegretol at the dose of 800mg per day. Brain magnetic resonance imaging (MRI) revealed a neurovascular conflict between VBD and the left trigeminal nerve. The endoscopic-assisted MVD...

The latissimus dorsi myocutaneous flap was one of the first methods of oncology breast reconstruction described. However, the standard latissimus dorsi flap alone often does not provide sufficient volume for breast reconstruction, it may have not been the first choice any more. The design of an extended latissimus dorsi flap has involved to include the parascapular and scapula fat fascia in addition to the lumbar fat for additional volume. The main advantage of the extended latissimus dorsi flap is that it can provide autogenous tissue to restore breast volume, it is suitable for Asian women whose breasts are not too...

The analgesia/nociception index (ANI), a 0 –100 non-invasive index calculated from heart rate variability, reflects the analgesia/nociception balance during general anaesthesia. The aim of this study was to evaluate the relationship between ANI with Bispectral index (BIS), PRST score and VAS in adult patients undergoing general anaesthesia. Patients and Methods: A total of 60 patients of American Society Anesthesiologist(ASA) physical status I and II undergoing open abdominal surgery. All patients were monitored and anesthetized according to the protocol. Measurement and recording ANI, BIS, PRST, VAS at the time of study. Results: There was a relationship between ANI with PRST, BIS...

In recent years, cancer in the oral cavity has been a fairly common disease in Vietnam. The treatment of this pathology requires the coordination of many different specialties such as wide resection of the tumor, reconstructive surgery, radiotherapy, chemotherapy. Reconstruction of post-excision tumors in the oral cavity is always a challenge with the surgeon. The report aims to provide outcomes and share our chimeric ALT flap experience to cover defects after oral cancer resection. Patients and Methods: Cross-sectional study on 18 patients who had reconstruction with free flap after wide resection cancer's tumor in the oral cavity. Research randomly selected...

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 (p<0.001). Additionally,...

Multiple studies have shown that diaphragmatic ultrasound can better predict outcome of weaning. The purpose of this study was to investigate the predictive value of two diaphragmatic ultrasound indices, diaphragmatic thickening (DTF) and excursion (DE) for weaning outcomes in surgical intensive care unit (ICU). Patients and Methods: The study included 60 cases whose mechanical ventilation (MV) time was >48 hours, and all eligibles were divided into either the weaning success group (n=45) or the weaning failure group (n=15). Diaphragm thickness, diaphragmatic excursion (DE) and diaphragmatic thickening fraction (DTF) were measured in the zone of apposition. The rapid shallow breathing index...

Lower extremity reconstruction still issues a challenge for plastic surgeon. The medial sural artery perforator (MSAP) flap has been reported for using to reconstruct the defects of the knee and proximal-third leg defects in many papers. But there is a few paper describled the technique of using this flap for reaching the middle third led defects. The authors report the first using MSAP propeller flap in Vietnam to cover the defect in 45-year-old female patient who suffered from chronic ulcer with bone exposure over the middle third anterior tibial and evaluate the result of 4 months post-op. Keywords: Lower extremities...