Số 03 - Tập 12

The study aim was to compare the operative time, estimated blood loss, number of harvested lymph nodes, intraoperative and postoperative complications, as well as postoperative recovery between intracorporeal and extracorporeal anastomosis in laparoscopic colectomy for colon cancer. Patients and methods: Retrospective study, case series. From 01/2021 to 8/2022, there were 99 patients, divided into two groups: intracorporeal anastomosis (n = 47) and extracorporeal anastomosis (n = 52). The operative time, estimated blood loss, number of harvested lymph nodes, intraoperative and postoperative complications were compared between two groups. Results: The intracorporeal anastomosis group has significantly shorter time to first flatus (2,7...

To assess the quality of the Video Telescope Operating Monitor digital 3-Dimension (VITOM 3D) system and the primary results achieved after applying this system for soft tissue defects in reconstructive surgery at Hue Central Hospital (Viet Nam). Patients and methods: We studied 82 patients (88 free flaps) with ages ranging from 7 to 80 years old undergone the soft tissue and bone defects reconstruction using VITOM 3D exoscope, from March 2019 to August 2022. We used the perspective study and the patients were researched on the properties of injury, on the kinds of flap or procedures, on sizes of flap...

The aim of this study was to assess the efficacy of parastomal hernia prevention with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer after a one-year follow-up at University Medical Center in Ho Chi Minh City. Patients and methods: Intervention study. Between 11/2018 and 7/2022, 43 patients with low rectal cancer underwent laparoscopic abdominoperineal resection and were divided into two groups: intervention (n = 15) with prophylactic mesh placement using the Sugarbaker technique and control (n = 28). All patients were tracked for at least a year and had an abdominal computed tomography scan. The Kaplan Meier method...

Cystic lymphangiomas are rare benign tumors of the lymph vessels and are usually found in children. However, abdominal cystic lymphangioma in mesocolon is extremely rare in adult patients. Case presentation: We reported a 15-year-old female with giant cystic lymphangioma of the right mesocolon. On examination, only abdominal pain was confirmed. Abdominal computed tomography (CT) showed a large multiseptated cystic mass. The patient underwent a total right mesocolic excision with the lesion. The patient recovered well on postoperative follow-up and was discharged on the fifth day. No evidence of recurrence had also been found during 1-year follow-up period. Conclusion: Complete tumor...

Since its first strike in 2019, the highly contagious Sars-Cov-2 virus has not only directly caused millions of deaths in Vietnam but also indirectly affected many other diseases such as colorectal cancer. In order to clarify this statement, this study was conducted to investigate the difference in disease stage, curative rate of colorectal cancer before and after the Covid-19 outbreak. Patients and Methods: A retrospective study was conducted at Univercity Medical Center, Ho Chi Minh city. Data on cancer stage, surgical methods, and rate of preoperative and postoperative complications were collected from patients treated at the hospital in two stages:...

Cervical intraepithelial neoplasia (CIN) is considered a precancerous lesion and is usually treated aggressively. Total hysterectomy is indicated in some cases and can be performed through the abdomen, vaginally, through laparoscopic surgery and robotic surgery combined with laparoscopic surgery. It is necessary to study to evaluate the effectiveness of total vaginal hysterectomy. Patients and methods: Clinical non-controlled interventional study in 32 patients with high - grade squamous intraepithelial lesions who underwent a total vaginal hysterectomy at Department of Oncology and Palliative Care at Hanoi Medical University Hospital from August 2018 to May 2021. Results: The average age in the study...

Previous endoscopic systems with 2D (2D) screens provide the surgeon with an indirect vision. To inprove this, 3D laparoscopic surgery was perfomed and has become a breakthrough in the era of minimally invasive surgery with high image definition, stability, good depth sense, reducing the burden on the surgeon's vision. At Hue Central Hospital, since 2020 we have applied regularly 3D endoscopic surgery for urological kidney diseases but not too many research projects to evaluate the safety, effectiveness and applicability of these means. Therefore, we carried out the topic: "Evaluating the results of 3D laparoscopic nephrectomy due to benign pathology". Patients...

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 using The...

Soft tissue defects with exposed Achilles tendon is common in trauma. Surgically covering these defects by fasciocutaneous flap can preserve normal function of the Achilles tendon. Various methods have been described and reported in the literatures: local advancement flap, region flap, or free flap. The purpose of this article is to report the results of 10 cases who were operated to cover the Achilles tendon by perforator V-Y advancement flap, discuss the indications and advantages of using this flap. Patients and methods: A retrospective study describes 10 cases: 8 males and 2 females, aged from 4 to 71. The patients...

Based on the obliterative suture technique or stapled transanal rectal resection procedure (STARR technique), Nguyen Trung Vinh introduced Suture Rectopexy Technique for Rectal Intussusception associated with Rectocele can not be treated by preservative management. This study aimed to to evaluate the recurrent factors after surgery. Patients and methods: 54 female patients with Obstructed Defecation Syndrome (ODS) underwent Suture Rectopexy for Rectal Intussusception associated with Rectocele from 2017 to 2020 at Trieu An Hospital. These patients were followed up and evaluated up to 18 months after surgery.The related factors evaluated were: Defecation Syndrome, ages, number of delivery, defecation duration, pre-operative ODS...

Laparoscopic distal gastrectomy with D2 lymph nodes dissection has become an ideal option for early gastric cancer, especially totally laparoscopic distal gastrectomy using intracorporeally hand–sewn anastomosis has many advantages. This study was performed to evaluate the safety and feasibility of this method in laparoscopic distal gastrectomy with lymph node dissection. Patients and methods: Prospective study with 6 gastric cancer patients was performed totally laparoscopic distal gastrectomy with D2 lymph nodes dissection using intracorporeally hand-sewn anastomosis at Gastrointestinal Surgery Department – Viet Duc University Hospital from 5/2021 to 5/2022. Results: 6 patients were performed totally laparoscopic distal gastrectomy with D2 lymph...

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 account for...

Acute pancreatitis is a disease caused by pancreatic enzymes from the inactive form being activated in the pancreas, causing self-destruction of nearby tissues and organs. Gallstones are one of the causes of acute pancreatitis. Acute pancreatitis with mechanical etiology after stable treatment requires radical treatment. ERCP, percutaneous lithotripsy, and surgery are effective treatments. The purpose of this paper is to evaluate the early results of surgical treatment of acute biliary pancreatitis. Patients and methods: A retrospective review of all patients diagnosed with acute pancreatitis due to gallstones was surgically treated at the Department of Hepatobiliary Surgery of Viet Duc University...

Laparoscopic Proximal Gastrectomy (LPG) is a priority selection for early cancer, submucosal tumor in the cardia location. However, the optimal method for reconstruction of intestinal circulation is still debated, especially regarding post-operative life quality. This study aimed to evaluate the feasibility, result and post-operativequality of life ofa LPG with double-flap technique for reconstruction of digestive tract using Kamikawa technique - double flap (DFT). Patients and method: A retrospective study was performed on 18 patients with early cancer, submucosal tumors in the 1/3 upper or cardia location undergoing LPG – DFT Kamikawa technique 5/2018 to 4/2022 at Digestive Surgery Department, University...

Laparoscopic esophagectomy plays an important role in esophageal cancer. In recent years, the treatment of esophageal cancer is multidisciplinary, especially in neoadjuvant chemoradiotherapy for stages from IIB-IV to downstage to increase the possibility of R0 resection and survival. Globally, there have many studies showing the feasibility, safety, and effectiveness of laparoscopic esophagectomy after neoadjuvant chemoradiotherapy in patients with esophageal cancers. In Vietnam, there has been a paucity of data and surgical results in this group of patients. Therefore, we conducted a study to evaluate the safety, feasibility, and effectiveness of laparoscopic esophagectomy in patients receiving neoadjuvant chemoradiotherapy for esophageal cancers...