Vietnam Journal of Endolaparoscopic Surgey最新文献_第2页

Immediate reconstruction of the breast with implants and prolene mesh for early breast cancer 早期乳腺癌植体及丙烯网即刻乳房重建

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.6

Quang Khánh Huỳnh

{"title":"Immediate reconstruction of the breast with implants and prolene mesh for early breast cancer","authors":"Quang Khánh Huỳnh","doi":"10.51199/vjsel.2022.4.6","DOIUrl":"https://doi.org/10.51199/vjsel.2022.4.6","url":null,"abstract":"Abstract\u0000Introduction: Several techniques are available today for immediate breast reconstruction after mastectomy for breast cancer in early stage and the choice depends on patient condition, experience and surgeon skills. It is possible to use a definitive implant or a muscle flap to reconstruct breast, this procedure was performed under general anesthesia and immediately following a total mastectomy. While using a tissue expander requires two surgical procedures.\u0000Patients and methods: We study a series of patients with early breast cancer who underwent total mastectomy and immediate breast reconstruction with implants in a submuscular pocket created beneath the pectoralis major muscle and prolene mesh. The study has conducted at the Breast Department – Oncology Center of Cho Ray Hospital from 04/2020 to 04/2021.\u0000Results: There were 25 patients with early breast cancer (Stage 0: 6 cases, Stage IA: 2 cases, Stage IIA: 17 cases), in which, two cases had neoadjuvant therapy. A total of 17 nipple-sparing mastectomy reconstructions and 8 skin-sparing mastectomy reconstructions were performed during the study period. Mean age were 45,4 ± 9,2 years old (from 30 to 63). Mean operation time were 239 ± 26,4 minutes. No major complications were recorded. There is one case with skin redness and one case with partial nipple ischemia, these cases were stable when discharging from the hospital. In cosmetic aspect, results were excellent achieved 20% and good 80% respectivelly. The patients had been follow-up and treated with multi disciplinary specialty consultant after surgery, no case needs adjuvant radiotherapy. No recurrence or distal metastasis was recorded.\u0000Conclusion: Mastectomy and immediate breast reconstruction with implant in early breast cancer is feasible with strict condition. However, further studies with a larger sampling size and a follow-up are necessary to draw more validated conclusions.\u0000Keywords: breast cancer, immediate breast reconstruction.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114201936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intestinal necrosis due to mesenteric ischemia in COVID-19 patients. Reviewing 3 patients have been treated at Cho Ray University Hospital COVID-19患者肠系膜缺血所致肠坏死。回顾在Cho Ray大学医院治疗的3例患者

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.8

Trần Khiêm Đặng

{"title":"Intestinal necrosis due to mesenteric ischemia in COVID-19 patients. Reviewing 3 patients have been treated at Cho Ray University Hospital","authors":"Trần Khiêm Đặng","doi":"10.51199/vjsel.2022.4.8","DOIUrl":"https://doi.org/10.51199/vjsel.2022.4.8","url":null,"abstract":"Abstract\u0000Introduction: The Covid-19 pandemic has resulted in severe complications and even death in many patients globally. Beside the most common impairments in the lung, SARS-CoV-2 infection-related hypercoagulation is not rarely seen in outpatients as well as in hospitalized patients. Such adverse event could engender vascular embolism in various viscera. During the Covid-19 outbreak in the years of 2020-2022, there have been several post-Covid-19 cases with bowel necrosis due to mesenteric ischemia which were well recorded worldwide. The impact of Covid-19 infection and mesenteric ischemia should be investigated. \u0000Patients and methods: We reported three young patients aged less than 40 years old who were diagnosed with bowel necrosis after Covid-19 infection at our center. Clinical, paraclinical manifestations, computed tomography features, diagnosis, treatment and final outcomes were recorded. \u0000Results: All three patients had mesenteric ischemia which caused intestinal necrosis in some extents. The patients underwent bowel resection with temporary stoma. Postoperative anticoagulant administration, nutritional support and delayed bowel reconstruction were performed with good outcomes. \u0000Conclusion: Understanding the impact of Covid-19 infection on mesenteric vascular helps to prevent, early detect the occurrence of bowel necrosis and effectively treat this complication. \u0000Keywords: Covid-19, SARS-CoV-2, mesenteric ischemia, bowel necrosis, compensation of bowel fluid.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"26 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126994711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors affecting range of motion after total knee arthroplasty 影响全膝关节置换术后活动范围的因素

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.4

Văn Học Nguyễn, Mạnh Khánh Nguyễn

引用次数: 0

Anatomical and biomechanical characteristics of fibularis longus tendon used for cruciate ligaments reconstruction 用于交叉韧带重建的腓骨长肌腱的解剖学和生物力学特征

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.11

Hoàng Quân Nguyễn

{"title":"Anatomical and biomechanical characteristics of fibularis longus tendon used for cruciate ligaments reconstruction","authors":"Hoàng Quân Nguyễn","doi":"10.51199/vjsel.2022.4.11","DOIUrl":"https://doi.org/10.51199/vjsel.2022.4.11","url":null,"abstract":"Abstract\u0000Introduction: Arthroscopic reconstruction of the cruciate ligament of the knee becomes routine with modern techniques and special instruments. However, the source of materials for this procedure has always been an eternal issue that affects the surgeons decision. The two peroneal tendons on the lateral side of the lower leg have the same function of plantar flexion and foot eversion. The fibularis longus tendon has been used for reconstruction such as the lateral collateral ligaments of the ankle or the Achilles tendon.\u0000Patients and methods: Descriptive cross-sectional study on twenty fresh cadavers were selected randomly for taking the fibularis longus tendon at the Department of Anatomy of the University of Medicine and Pharmacy, Ho Chi Minh City from January to July, 2022. Specimens with intact leg to lower knee segment were not crushed, well preserved and had never been used in previous studies.\u0000Results: Fibularis longus tendon length was 29,25 ± 2,1cm; the distances from fibularis longus tendon to deep fibular nerve and superficial fibular nerve was 71.1±8.63mm respectively, no split (longitudinal tear) was observed, the maximum tensile strength was 1170,4 ±203N, the maximum length of rupture 14,29 ± 3,88 mm.\u0000Conclusion: There was no split of fibularis longus tendon. Also no sign of impact on adjacent anatomy structures was found. The maximum tensile strength was equivalent to other grafts, such as the Hamstrings and patellar tendons. Its a potential source for arthroscopic reconstruction of the cruciate ligament\u0000Keywords: knee arthroplasty, fibularis longus tendon, grafts, Hamstrings tendon","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117143628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Functional end to end esophagojejunostomy without previous resection of esophagus and jejunum by linear stapler in the totally laparoscopic gastrectomy: Experience in 106 patients 全腹腔镜胃切除术中不切除食管和空肠的线性吻合器功能性端到端食管空肠吻合106例的体会

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.7

Văn Chiến Đinh

{"title":"Functional end to end esophagojejunostomy without previous resection of esophagus and jejunum by linear stapler in the totally laparoscopic gastrectomy: Experience in 106 patients","authors":"Văn Chiến Đinh","doi":"10.51199/vjsel.2022.4.7","DOIUrl":"https://doi.org/10.51199/vjsel.2022.4.7","url":null,"abstract":"Abstract\u0000Introduction: We aimed to evaluate the outcomes of the technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of the esophagus and jejunum in the totally laparoscopic total gastrectomy (TLTG) and report experience in 106 patients.\u0000Patients and methods: A prospective observational study on patients received technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum in TLTG between July 2017 and July 2022.\u0000Results: We included 106 patients with a mean age of 63.2 ± 11.7 (26 – 88). 10.4% of patients having tumors in the upper third of the stomach and 88.7% of patients having tumors in the middle of the stomach. There were 4.7% of cases having incidents during the surgery and 3.6% of cases having complications after the surgery. There were 2 (1.8%) cases of technical errors in making functional end to end esophagojejunostomy during surgery. No anastomotic leakage or death was observed after the surgery. The operation time was 201.5 ± 29.0 (145 - 270) minutes. The mean hospital stay was 7.56 ± 2.23 (5 - 15) days. 04 (3.6%) cases of reflux esophagitis, and 03 (2.7%) mild stenosis of the anastomosis after surgery, and 1 (0.9%) recurrence at the anastomosis after surgery.\u0000Conclusion:The technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum was safe and effective in TLTG.\u0000Keywords: Esophagojejunostomy in laparoscopy, The technique of functional end-to-end.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130893717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Result of surgical treatment for pancreatic head cancer 胰头癌手术治疗的结果

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.9

Hoàng Hà Phạm

{"title":"Result of surgical treatment for pancreatic head cancer","authors":"Hoàng Hà Phạm","doi":"10.51199/vjsel.2022.4.9","DOIUrl":"https://doi.org/10.51199/vjsel.2022.4.9","url":null,"abstract":"Abstract\u0000Introduction: Surgery is the mainstay of treatment for pancreatic head cancer for improvement of patient survival. Studies in Vietnam have focused less on survival after surgery. Therefore, we conducted a study to evaluate the results of surgical treatment of pancreatic head cancer at Viet Duc Hospital.\u0000Patients and methods: A Retrospective study of patients with pancreatic head cancer have been operated at Viet Duc University Hospital from 01/2014 to 12/2015.\u0000Results: There were 83 pancreatic head cancer patients operated at Viet Duc hospital. The mean age was 57.7 ± 11.5 (age), male and female were 57.8% and 42.2%, respectively. 18.1% of patients had malnutrition before surgery; The rate of tumor resection (Whipple procedure) was 57.9%. The rate of bypass was 36.1%, the rate of exploratory surgery was 6%. The postoperative complications were bleeding, pancreatic leak, Choledochojejunostomy leak accounted for 6%; 3.6% and 1.2%, respectively. The postoperative mortality rate was 2.4%. The mean overall survival time was 12.35 ± 1.36 months; survival rate after 2 years is 20.3%. Factors such as resection of pancreatic head tumor, no lymph node metastasis, and no distant metastasis all increased the patient's survival time (p<0.05)\u0000Conclusion: Surgical treatment of pancreatic head cancer is feasible and safe; and pancreaticoduodenectomy increase the patient's survival time\u0000Keywords: pancreatic head cancer, whipple procedure, pancreaticoduodenectomy","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128728445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcome of using the spinal accessory nerve for functional muscle innervation in facial paralysis reconstruction: The first two cases in Vietnam and literature review 利用脊副神经进行功能性肌肉神经支配在面瘫重建术中的效果:越南头两例及文献回顾

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.3

Mai Bui, Trung-Truc Vu

引用次数: 0

Situation and the need of specialist surgeons working in provincial and district hospitals by ecological regions throughout Vietnam 在越南各地按生态区域划分的省级和地区医院工作的专业外科医生的情况和需求

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-10-25 DOI: 10.51199/vjsel.2022.4.10

Quốc Hưng Đoàn

{"title":"Situation and the need of specialist surgeons working in provincial and district hospitals by ecological regions throughout Vietnam","authors":"Quốc Hưng Đoàn","doi":"10.51199/vjsel.2022.4.10","DOIUrl":"https://doi.org/10.51199/vjsel.2022.4.10","url":null,"abstract":"Abstract\u0000Introduction: Surgical pathologies account for 28-32% of the global disease burden, however human resource in surgery (surgical workforce) is still not good enough. The study aimed to describe the current situation and the need of specialist surgeons for working in provincial and district hospitals by representation of ecological regions (ecoregions). \u0000Patients and methods: A cross-sectional study has conducted in 7 provinces/cities with 27 hospitals. \u0000Results: The current number of surgeons was mostly distributed for the Coastal and Southern Central regions accounted for 23.3%; in Red River Delta was 22.3%. The need for surgeons for the Central Coast and South-Central region (30.6%) was the highest, but its lowest in the Central Highlands region for 2025. The distribution of surgical workforce according to the hospital classification categories showed that the surgeons commonly work in provincial level (81.1%). The need for surgeons for provincial hospitals was the highest as 78.4%. \u0000Conclusion: The distribution of surgical workforce was unbalanced among ecoregions, especially there was a shortage of specialist surgeons such as neurosurgeons, cardiovascular and pediatric surgeons. It is recommended to support in-depth training in professional knowledge and skills and prioritize short-term, more practical types. \u0000Keywords: Human resource situation, human resource needs, demand for doctors, surgeons","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"400 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132174283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer 应用Sugarbaker技术放置预防性补片经腹腔镜腹会阴直肠癌切除术的疗效观察

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-08-15 DOI: 10.51199/vjsel.2022.3.13

Ngoc Truong Vinh Pham

{"title":"Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer","authors":"Ngoc Truong Vinh Pham","doi":"10.51199/vjsel.2022.3.13","DOIUrl":"https://doi.org/10.51199/vjsel.2022.3.13","url":null,"abstract":"Abstract\u0000Introduction: 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. \u0000Patients 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 was used to calculate the rate of parastomal hernia after one year. To compare the rates of parastomal hernia in two groups, the logrank test was used.\u0000Results: This study included 43 patients; the male to female ratio was approximately equal to 1:1; the median age was 62; the youngest age was 40; and the oldest age was 92. Rectal cancer stage III was found in 41.8% of people. Neoadjuvant chemoradiotherapy was used in 27.9% of cases. The average duration of operation was 184 minutes. The average time for mesh placement was 15 minutes. The overall complication rate was 16.4%. There were no issues with mesh placement. At one year, the control group had a higher cumulative rate of parastomal hernia than the intervention group (35.7% versus 0%, logrank 6.4, p = 0.01).\u0000Conclusions: Prophylactic mesh placement using the Sugarbaker technique during laparoscopic abdominoperineal resection for rectal cacner is safe, does not increase complications, and reduces the cumulative rate of a parastomal hernia at 1 year in patients who have undergone prophylactic mesh placement.\u0000Keywords: Prophylactic mesh placement, Sugarbaker technique, Laparoscopic abdominoperineal resection.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128568595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility and outcomes of laparoscopic proximal gastrectomy with Kamikawa double-flap reconstruction for upper - third gastric cancer 腹腔镜近端胃切除术加Kamikawa双瓣重建治疗上三分之一胃癌的可行性及效果

Vietnam Journal of Endolaparoscopic Surgey Pub Date : 2022-08-15 DOI: 10.51199/vjsel.2022.3.2

D. L. Võ

{"title":"Feasibility and outcomes of laparoscopic proximal gastrectomy with Kamikawa double-flap reconstruction for upper - third gastric cancer","authors":"D. L. Võ","doi":"10.51199/vjsel.2022.3.2","DOIUrl":"https://doi.org/10.51199/vjsel.2022.3.2","url":null,"abstract":"Abstract\u0000Introduction: 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). \u0000Patients 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 Medical Center, HCMC. We evaluated clinical data and operation results.\u0000Results: Median age was 52 years. The operating time was 265 minutes, and the mean time to perform anastomosis was 85 minutes. There were 4 with early-stage adenocarcinoma, 10 patients with GIST, and 4 with leiomyoma. All cases were free of cancer cells in the surgical resection specimens. There were no intraoperative complications or postoperative complications. There was no postoperative mortality. The mean follow-up time was 20,3 months. Quality of life improved over time: the scores at 6, 12, and 24 months were: 25.7 ± 11.6, 21.3 ± 6.2, and 19.6 ± 3.9, respectively. The average hospital stay was 6,3 days.\u0000Conclusions: LPG –DFT by Kamikawa technique is safe, feasible and patients quality of life were acceptable. \u0000Keywords: Gastric cancer, proximal gastrectomy, double-flap reconstruction, Kamikawa","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124724758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0