Số 04 - Tập 10

Injuries involving the posterolateral ligamentous system occur in approximately 7 - 16% of knee ligament injuries. However, only 28% of all posterolateral corner (PLC) injuries are alone and usually combined with cruciate ligament injury (posterior cruciate ligament-PCL > anterior cruciate ligament-ACL). Combined ACL and PLC tears account for 10% of complex knee injuries. An unaddressed posterolateral corner injury may be a leading cause of ACL reconstruction failure. Case presentation: A 26 year old male patient with combined ACL and PLC injury. He was concurrently reconstructed by both ACL and PLC. We used 2 semitendinosi (1 in each knee) and 1...

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 Medical Center,...

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: Managementofbileductstonesbylaparoscopiccholedochotomy is...

The posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) are important to ensure the stability of the knee joint. Both PCL and ACL can be injured, but PCL injuries are much less common than ACL injuries. In order to summarize the experience and improve the quality of treatment, we conducted the research with the aim is to evaluate the results of arthroscopic all-inside posterior cruciate ligament reconstruction using hamstring tendon autograft. Materials and methods: From June 2018 to December 2019, all patients who had posterior cruciate ligament (PCL) rupture treated with all-inside arthroscopy PCL reconstructions using semitendinous and gracilis...

Endoscopic thyroidectomy has been applied prudently for malignant thyroid tumors. The aim of our study was to compare the outcomes of endoscopic lobectomy and conventional open lobectomy for early differentiated thyroid cancer. Materials and Methods: From October 2018 to October 2019, 485 patients with early differentiated thyroid cancer underwent thyroid lobectomy in National hospital of Endocrinology enrolled. Of them, 235 patients underwent endoscopic lobectomy (EL) and 250 patients underwent conventional open lobectomy (OL). Results: The mean age of the patients was lower in the EL group (22,3 ± 3,6 years) than in the OL group (31,0 ± 5,8 years, P...

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%. Mean operative...

Minimally invasive surgery has been a trend in modern medicine and there are no exceptions in the cardiothoracic surgery, which has been widely applied in Vietnam recently. Thong Nhat Hospital has deployed the minimally invasive cardiac surgery (MICS) for a trial septal defect (ASD) and left atrial myxoma since July 2018. Therefore we conducted this research to evaluate the result of this novel method in our hospital thus improving techniques and refining the procedures. Subjects and methods: We retrospectively reviewed all the patients underwent video assisted MICS in Thong Nhat Hospital from July 2018 to February 2020. Results: There had...

Objectives: Since November 2016 the Robotic surgery has been initially applied on adult patients for the first time in Vietnam. The aim of the study was to evaluate the outcomes of application of the da Vinci SiTM robot in General Surgery and Urology at Binh Dan Hospital in over 03 years. Materials and Methods: From November 2016 to July 2020, the prospective case-series study for 1030 cases including: 324 cases in General Surgery + Thoracic Surgery cases and 706 cases in Urology are operated by the da Vinci SiTM robot system. We evaluated the short-term outcomes. Results: In 324 cases...

Laparoscopic pancreaticoduodenectomy is one of the most complicated major surgeries. The postoperative mortality and morbidity are still a burden of hepato-pancreato-biliary surgery. Aim of this study is to assess the short-term outcome of laparoscopic Whipple procedure for periampullary cancer. Materials and methods: Case series report. Results: From 1/2018 to 1/2019, we had performed laparoscopic Whipple procedure in 21 patients. The intracorporeal hepatico-jejunal anastomosis had been formed in all the cases. The pancreaticojejunal and gastro-jejunal anastomosis had been formed extracorporeally through small 5cm midline incision. The pancreatic duct had been drained with 8F drainage. The average operation time was 364 minutes....