Số 04 - Tập 09

The study aimed to evaluate the initial results of uniportal non-intubated thoracoscopic surgery for treatment of thoracic diseases at the VietDuc University Hospital. Material and Methods:A descriptive study of 17 patients with intrathoracic diseases were treated with uniportal non-intubated thoracoscopic surgery from 02/2019 to 07/2019. The data of pre-peri and post – operative were recorded. Results: There were 04 men and 13 women, mean age was 49,2 ± 20,5 (06 –71). The average BMI: 21,48 ± 2,14 kg/ m2(15,39 – 23,93). Surgical techniques: GGO (Wedge resection): 03 (17,6%); Bullous lung disease (Wedge resection): 01 (5,9%); Mediastinal tumor (resection): 08 (47,1%);...

There are controversies over the treatment options for pelvic lymph node metastasis in low rectal cancer. The role of neoadjuvant radiotherapy in radical treatment of pelvic lymph node metastasis is still unidentified. Total mesorectal excision (TME) with Laparoscopic pelvic lymph node dissection (LPLND) provides lower pelvic recurrence in 5 years than TME only. Material and Methods: Prospective, uncontrolled clinical trial for patients with low rectal cancer (below peritoneal fold), who had suspected lateral pelvic lymph node metastasis on MRI scan and the patients did not have contraindication for laparoscopic surgery. Result: From January 2017 to February 2018 we performed 12...

Craniopharyngiomas have been classically removed by various transcranial approaches (craniotomy). Nowadays with the advance in endoscope transsphenoidal surgery, the extended transsphenoidal approach is the best choice for removal of suprasellar tumors and even intra-ventricular craniopharyngiomas. However, this is still challenging to surgeons in removing the tumors by this approach and the surgical complications could be occurred. Material and Methods: From 7/2013 – 7/2017, 50 patients (39 adults and 11 children) underwent surgery for craniopharyngioma by nasal transsphenoidal approaches. The complications regarding the surgery was recorded. Results: The early postoperative mortality was 2/50 (4%) caused by meningitis, intra-ventricular hemorrhage. The epidural...

Conventional laparoscopic surgery for low rectal cancer has several challenges regarding the technique issues such as a limited range of motion instruments. With the advantages, Robotic-assisted surgery has resolved this problems compared with the conventional laparoscopic surgery because it’s dexterity could improve the range of motion instruments. To evaluate the short-term and early oncological outcomes of robotic-assisted surgery for low rectal cancer. Material and Methods: Prospective study to describe one consecutive series of robotic-assisted laparoscopic resection for low rectal cancer at Department of Digestive Surgery of Cho Ray hospital. Results: Between October 2017 and June 2018, robotic-assisted laparoscopic resection with...

The aim of this study is to evaluate the outcomes, feasibility and safety of laparoscopic Heller – Dor method in treatment of esophageal achalasia or achalasia . Material and Methods: it’s a descriptive cross-sectional study. The patients diagnosed an achalasia and underwent laparoscopic Heller myotomy and Dor fundoplication from 2014 to July 2019 enrolled. Results: 12 patients diagnosed an achalasia were operated on by laparoscopic Heller myotomy and Dor fundoplication. Age mean 40.8 ± 4.2 (18 -65), male 58.3% and female 41.7%. 83.3% of patients have dysphagia, mean dysphagia time 12.8 ±5.2 (2-60) months, vomiting: 41.7% and weight loss: 100%,...

Binh Dan hospital started to apply robotic in colorectal cancer surgery in November 2016. Our aim is to evaluate the safety of robotic surgery in management of rectal cancer. Material and Methods: Prospective case series study: 66 rectal cancer cases were operated by robotic da Vinci Surgical System (Si version) from November 2016 to July 2019 at Binh Dan hospital. Results: Men/Women ratio: 2,09. Average age: 61 yrs (23-85). Treatment: 8 cases of anterior resection, 35 cases of low anterior resection, 7 cases of ultra-low anterior resection, 16 cases of abdominal perineal resection. Post-operative pathology staging: stage I: 2 cases...

Purpose: To evaluate the result of laparoscopic treatment for adenocarcinoma of the right colon in Viet Duc University Hospital from 2013 to 2017. Material and Methods: it’s a descriptive retrospective study. Main research criteria: operating time, rate of conversion to open surgery, intra- and postoperative complications, postoperative survival rate… Results: 127 patients with adenocarcinoma of right colon were treated by laparoscopic right colectomy. The rate of conversion to open surgery is 17,3%. Mean of duration of procedure: 138.5 ± 40.1 minutes (60 – 250). The number of removed nodes is 12.64 ± 6.23 (4 – 43). No peri-operative complications. Most...

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 to drainage...