Vietnam Journal of Endolaparoscopic Surgey最新文献

{"title":"Results of endoscopic thoracic for Post-traumatic pleural empyema treatment at Viet Duc University Hospital","authors":"T. Tran, H. Nguyen","doi":"10.51199/vjsel.2021.3.3","DOIUrl":"https://doi.org/10.51199/vjsel.2021.3.3","url":null,"abstract":"Abstract\u0000Introduction: 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. \u0000Patients 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. \u0000Results: Including 52 patients, with 46 men - 6 women, the average age was 44.87 years old; the average time from accident to surgery was 31.17 days, the average surgery time was 86.83 minutes; thoracoscopic surgery was 100% successful. Intensive respiratory physiotherapy was performed in 100% of patients; the average postoperative hospital stay was 8.13 days; the most common postoperative complication was wound infection (3.8%); 100% of patients discharged from the hospital were stable, with no mortality. \u0000Conclusion: Endoscopic thoracic surgery combined with intensive respiratory physiotherapy after surgery is an effective solution in treating post-traumatic pleural empyema.\u0000Keywords: Post-traumatic empyema, chest trauma, endoscopic thoracic.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"143 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116004786","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}

{"title":"Chimeric anterolateral thigh free flap for reconstruction of oral cancer","authors":"Mai Bui, X. Tong","doi":"10.51199/vjsel.2021.3.7","DOIUrl":"https://doi.org/10.51199/vjsel.2021.3.7","url":null,"abstract":"Abstract\u0000Introduction: 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.\u0000Patients 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 for age and gender. The results evaluate the flap survival rate, the degree of coverage, function, and aesthetics after surgery, the 5-year survival rates.\u0000Results: 18 patients had the ratio of male/female: 14/4; age ranged from 39 to 62 years old. Pathology's results of 15/18 patients were squamous cell carcinoma; 3/18 is adenoma mucoepidermoid carcinoma. The proportion of patients having chemotherapy before surgery is 4/18, radiation before surgery is 6/18. 100% flap survival rate is 16/18; Partial necrosis of the flap 2/18. 18/18 patients had radiation therapy after surgery. The 5 – years survival rate to the end of the study was 11/18.\u0000Conclusion: Using chimeric ALT flap to cover the defect after cancer tumor removal in the oral cavity is an optimal choice with many advantages: the ability to cover a wide defect so it can be cut broadly, preserving the maximum function of the oral, minimizing morbidity at the donor site. However, the surgery needs teamwork of highly trained, multi-specialist coordination and modern equipment.\u0000Keywords: Chimeric ALT flap, oral cavity cancer, squamous cell carcinoma.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131293803","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}

{"title":"Result of cholangioscopic electrohydraulic lithotripsy through a percutaneous T-tube for hepatolithiasis at Military Hospital 103","authors":"Sơn Hải Đỗ","doi":"10.51199/vjsel.2021.2.3","DOIUrl":"https://doi.org/10.51199/vjsel.2021.2.3","url":null,"abstract":"Abstract\u0000Bacground: Hepatolithiasis is common in Vietnam. Percutaneous endoscopic electrohydraulic lithotripsy (EHL) is a method of choice for treatment of hepatolithiasis. This study evaluates 10 years of experience using a flexible fiber-optic choledochoscopic to assist in the fragmentation of hepatolithiasis by EHL.\u0000Patients and methods: 854 patients with hepatolithiasis were performed percutaneous EHL through T-tube from January 2010 to January 2020 at Military Hospital 103. Patients’demographic, operative and follow-up data after perfoming EHL were retrospectively and prospectively collected for analysis.\u0000Results: After EHL, the fragmentation rate was 100% and the complete clearance of stone was 86.53%. The average number of EHL session/patient was 1.79 ± 1.13. Post- EHL complications rate was 9.1%. During long-term follow-up evaluation, recurrent stones accounted for 10.1%.\u0000Conclusions: Cholangioscopic electrohydraulic lithotripsy through a percutaneous T-tube for hepatolithiasis was an effective and safe therapy.\u0000Key word: Percutaneous endoscopy, EHL, flexible fiber-optic choledochoscopy, hepatolithiasis.\u0000\u0000Tóm tắt\u0000Đặt vấn đề: Sỏi trong gan là một bệnh lý phổ biến ở Việt Nam, gây nhiều biến chứng phức tạp. Nội soi tán sỏi bằng điện thủy lực (Electrohydraulic lithotripsy- EHL) là một phương pháp xâm nhập tối thiểu được lựa chọn để điều trị sỏi trong gan. Nghiên cứu này đánh giá 10 năm kết quả sử dụng hệ thống nội soi ống mềm để điều trị sỏi trong gan bằng EHL qua đường hầm dẫn lưu Kehr. \u0000Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang, hồi cứu kết hợp tiến cứu, không đối chứng trên 854 người bệnh (NB) sỏi đường mật được nội soi tán sỏi bằng điện thủy lực qua đường hầm dẫn lưu Kehr, từ tháng 01 năm 2010 đến tháng 01 năm 2020 tại bệnh viện Quân Y 103.\u0000Kết quả: Sau khi thực hiện EHL, 100% NB đều tán được sỏi trong gan. Khả năng tiếp cận sỏi bằng nội soi ống mềm đạt 73,19%; tỷ lệ sạch sỏi 86,53%; sót sỏi 13,47%. Số lần tán sỏi trung bình trên 1 NB là 1,79 ± 1,13 lần; Tỷ lệ biến chứng sau EHL là 9,13%. Trong quá trình theo dõi lâu dài, tỷ lệ sỏi tái phát là 10,11%.\u0000Kết luận: Nội soi tán sỏi qua đường hầm dẫn lưu Kehr bằng điện thủy lực là một phương pháp an toàn và hiệu quả để điều trị sỏi trong gan.\u0000Từ khóa: Nội soi tán sỏi,EHL, nội soi ống mềm, sỏi trong gan.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"530 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115242408","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}

{"title":"Short-term outcomes of minimally invasive transanal total mesorectal excision for rectal cancer","authors":"Văn Minh Tuấn Trần","doi":"10.51199/vjsel.2021.2.5","DOIUrl":"https://doi.org/10.51199/vjsel.2021.2.5","url":null,"abstract":"Abstract\u0000Introduction: The aim of study was to evaluate the safety and feasibility of transanal total mesorectal excision (TaTME) for middle and low rectal cancer at Binh Dan Hospital.\u0000Patients and methods: Case series of all rectal cancer patients who underwent TaTME from January 2019 to July 2020 enrolled. \u0000Results: There were 21 patients (17 men and 4 women). The median age of patients was 58 years. The average surgical duration was 264 minutes [210 - 480]. The average blood loss was 168 ml [100 - 210]. The average hospitalization duration was 9.42 days [8 - 16]. There were 2 cases of complication as anastomotic leakage (9.5%) that responded well with conservative treatment. The ratio of R0 resection margin was 100%. There were two cases of positive postoperative circular resection margin (CRM) accounting for 9.5%. The average number of harvested lymph node were 12.34 [9 - 22].\u0000Conclusions: TaTME could be performed safely with good oncological results for rectal cancer. This surgery has advantages for patients with narrow pelvis or obesity.\u0000Key word: Rectal cancer, laparoscopy, Transanal Total Mesorectal Excision (TaTME).\u0000\u0000Tóm tắt\u0000Đặt vấn đề: Mục tiêu của nghiên cứu nhằm khảo sát kết quả sớm của phẫu thuật nội soi (PTNS) cắt toàn bộ mạc treo trực tràng qua ngã hậu môn trong điều trị ung thư trực tràng (UTTT).\u0000Đối tượng và phương pháp nghiên cứu: Báo cáo loạt ca. Tất cả người bệnh (NB) UTTT được phẫu thuật bằng kỹ thuật cắt toàn bộ mạc treo trực tràng với PTNS qua ngã hậu môn từ tháng 1/2019 đến tháng 7/2020 tại Bệnh viện Bình Dân.\u0000Kết quả: Tổng số 21 Bệnh nhân (BN) (17 nam và 4 nữ) được thực hiện kỹ thuật này. Tuổi trung bình của BN là 58 tuổi. Thời gian phẫu thuật trung bình là 264 phút (210 - 480 phút). Lượng máu mất trung bình 168 ml (100 - 210 ml). Thời gian nằm viện trung bình là 9,42 ngày ( 8 - 16 ngày). Có 2 trường hợp xì miệng nối (9,5%) và được điều trị bảo tồn. Tỉ lệ bờ mặt cắt đạt được R0 là 100%. Có 2 trường hợp CRM (+) sau mổ (9,5%). Số lượng hạch nạo vét được trung bình là 12,34 hạch (9 - 22 hạch).\u0000Kết luận: PTNS cắt toàn bộ mạc treo trực tràng qua ngã hậu môn có thể thực hiện an toàn với kết quả tốt về mặt ung thư học. Phẫu thuật đặc biệt có lợi cho các BN có khung chậu hẹp hay béo phì.\u0000Từ khóa: Ung thư trực tràng, phẫu thuật nội soi, cắt toàn bộ mạc treo trực tràng ngã hậu môn.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"325 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122741517","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}

{"title":"Initial outcomes assessment of Billroth II – Braun anastomosis in laparoscopic distal gastrectomy for cancer","authors":"Ngọc Hùng Đặng","doi":"10.51199/vjsel.2021.2.6","DOIUrl":"https://doi.org/10.51199/vjsel.2021.2.6","url":null,"abstract":"Abstract\u0000Introduction: Gastric cancer is a common disease in the world, among the leading digestive cancers. Until now, surgery, especially laparoscopic surgery, is the primary radical treatment. In there, reestablishment of the gastrointestinal continuity remains controversial.\u0000Patients and Methods: A prospective study on 42 patients who underwent laparoscopic distal gastrectomy with Billroth II – Braun anastomosis from October 2019 to June 2020.\u0000Results: The post-gastrectomy syndrome with persistent diarrhea accounted for 9.52%; alkaline gastritis accounted for 4.76%. Patients with Grade 2 according to Clavien - Dindo classification accounted for 14.28%. Most patients were with good surgical results of VISICK I (71.44%). 14.28% was with quite good results (VISICK II) and moderate results accounted for 14.28% (VISICK III). There was no case of persistent medical treatment or reoperation.\u0000Conclusions: Billroth II - Braun anastomosis is a good choice in laparoscopic distal gastrectomy for cancer with low rate of complications and mild postoperative symptoms that could be easily controlled with short-term medical treatment.\u0000Key word: Billroth II – Braun, gastric cancer, distal gastrectomy.\u0000\u0000Tóm tắt\u0000Đặt vấn đề: Ung thư dạ dày là bệnh lý thường gặp trên thế giới, đứng hàng đầu trong các ung thư tiêu hóa. Hiện nay, điều trị ung thư dạ dày (UTDD) bằng phẫu thuật, đặc biệt phẫu thuật nội soi, là phương pháp điều trị triệt căn hàng đầu. Trong đó, tái lập lưu thông tiêu hóa là vấn đề còn đang thảo luận. \u0000Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu trên 42 người bệnh (NB) UTDD được cắt bán phần dạ dày phần xa bằng phẫu thuật nội soi (PTNS), tái lập bằng miệng nối bilroth II - Braun từ tháng 10/2019 đến tháng 6/2020 và đánh giá kết quả miệng nối Bilroth II (polyA) - Braun trong tái lập lưu thông tiêu hóa sau cắt bán phần xa dạ dày nội soi do ung thư. \u0000Kết quả: Hội chứng sau cắt dạ dày với tiêu chảy kéo dài tỷ lệ 9,52%; viêm dạ dày do kiềm chiếm 4,76%. Các NB có độ 2 theo Clavien - Dindo là 14,28%. Phần lớn BN có kết quả phẫu thuật tốt đạt VISICK I (71,44%). 14,28% đạt kết quả khá (VISICK II) và kết quả trung bình là 14,28% (VISICK III). Không có trường hợp cần dùng thuốc dài ngày hay mổ lại.\u0000Kết luận: Miệng nối Bilroth II - Braun là một lựa chọn tốt trong phẫu thuật cắt bán phần xa dạ dày do ung thư với tỷ lệ biến chứng sau mổ thấp và các triệu chứng mắc phải sau phẫu thuật thường nhẹ, có thể dễ dàng kiểm soát bằng điều trị nội khoa ngắn ngày.\u0000Từ khóa: Billroth II - Braun, ung thư dạ dày, cắt bán phần dạ dày.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"498 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121609606","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}

{"title":"Result of anterior cruciate ligament reconstruction with all-inside technique using button system tightrope in Viet Duc University Hospital","authors":"Trường Thịnh Vũ","doi":"10.51199/vjsel.2021.2.4","DOIUrl":"https://doi.org/10.51199/vjsel.2021.2.4","url":null,"abstract":"Abstract\u0000Background: Evaluating the treatment results of Anterior Cruciate Ligament (ACL) reconstruction with the all-inside technique using the TightRope system.\u0000Patients and methods: It was a longitudinal descriptive study to investigate 56 patients who underwent ACL reconstruction with an all-inside technique using the Tight-Rope system in Viet Duc University Hospital between June 2019 and March 2020.\u0000Result: 82% of patients were men, and mainly of working age. The primary cause of ACL injury was a sports injury. Six months after surgery, the outcomes were excellent. The patient's knee joint range of motion and stability (evaluated by the Lachman and Pivot-Shift test) has improved significantly.\u0000Conclusions: Arthrosopic ACL reconstruction with all-inside technique using TightRope system leads to significant improvement in range of motion of patient's knee joint. The result of this study helps surgeons choose more options for management of ACL injury.\u0000Key word: Knee arthroscopy, anterior cruciate ligament reconstruction, all-inside.\u0000\u0000Tóm tắt\u0000Mục tiêu: Nghiên cứu đánh giá kết quả điều trị của phẫu thuật tái tạo dây chằng chéo trước (DCCT) theo kĩ thuât tái tạo \"all inside\" (tất cả bên trong) sử dụng Tightrope (TGR) hai đầu. \u0000Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu trên 56 người bệnh (NB) phẫu thuật nội soi tái tạo DCCT với kỹ thuật tất cả bên trong sử dụng Tightrope hai đầu tại bệnh viện Hữu Nghị Việt Đức từ tháng 6 năm 2019 đến tháng 3 năm 2020. \u0000Kết quả: NB chủ yếu là nam giới (82%), trong độ tuổi lao động, nguyên nhân chủ yếu do tai nạn thể thao. Kết quả sau mổ 6 tháng rất tốt, NB cải thiện biên độ vận động và độ vững của khớp gối rõ rệt qua đánh giá bằng dấu hiệu Lachman và nghiệm pháp Pivot-shift. \u0000Kết luận: Nội soi tái tạo DCCT bằng kỹ thuật \"tất cả bên trong\" sử dụng TGR hai đầu đạt kết quả cao về sự phục hồi biên độ vận động khớp gối của NB sau mổ, giúp cho phẫu thuật viên có thêm lựa chọn về phương pháp phẫu thuật trong điều trị tái tạo DCCT.\u0000Từ khóa: Nội soi khớp gối, tái tạo dây chằng chéo trước, tất cả bên trong.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133468837","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}

{"title":"Early outcomes of robotic distal gastrectomy with D2 lymphadenectomy for gastric cancer at Binh Dan Hospital","authors":"V. Trần","doi":"10.51199/vjsel.2021.2.2","DOIUrl":"https://doi.org/10.51199/vjsel.2021.2.2","url":null,"abstract":"Abstract\u0000Introduction: Gastric cancer is one of the five most common malignancies in Vietnam and worldwide. Recently, robotic gastrectomy with lymphadenectomy has become a new trend in the treatment of gastric cancer. In Vietnam, we conducted this study to assess the safety and feasibility of this procedure.\u0000Patients and methods: Descriptive study with a case series enrolled 13 patients with lower third gastric cancer underwent gastrectomy with lymphadenectomy by Si-generation da Vinci robot at Binh Dan Hospital from 01/01/2017 to 31/07/2019.\u0000Results: Male/female ratio was 2.25:1. The median age was 56.92 ± 8.66 years old. The pre-operative staging (cTNM) was mostly stage III. Robot docking time was 15 ± 7.36 minutes. The total operating time was 225.38 ± 36.43 minutes. The average blood loss during surgery was 66.15 ± 23.64 ml. There were no intraoperative accident as well as early postoperative complication. The postoperative hospital stay was 7.62 ± 0.87 days. The total number of metastatic lymph nodes was 1.62 ± 1.61 nodes. The postoperative staging was IIIA (53.85%), IIB (23.08%), IIA (15.38%) and IB (7.69%) respectively.\u0000Conclusions: Robotic gastrectomy is a safe procedure with promising indexes during and after surgery.\u0000Key word: Gastric cancer, robotic surgery.\u0000\u0000Tóm tắt\u0000Đặt vấn đề: Ung thư dạ dày (UTDD) là một trong năm loại ung thư phổ biến nhất tại Việt Nam và trên thế giới. Phẫu thuật robot cắt dạ dày và nạo hạch trở thành xu hướng điều trị mới trong UTDD. Tại Việt Nam, chúng tôi tiến hành nghiên cứu sau để tìm hiểu tính an toàn và khả thi của phương pháp phẫu thuật này.\u0000Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả hàng loạt ca: 13 trường hợp ung thư dạ dày 1/3 dưới được phẫu thuật bằng robot da Vinci thế hệ Si tại bệnh viện Bình Dân từ 01/01/2017 đến 31/7/2019.\u0000Kết quả: Tỉ lệ nam : nữ là 2,25 : 1. Độ tuổi trung bình là 56,92 ± 8,66 tuổi. Giai đoạn bệnh trước mổ (cTNM) đa số là giai đoạn III. Thời gian docking robot là 15 ± 7,36 phút. Thời gian mổ toàn bộ là 225,38 ± 36,43 phút. Lượng máu mất trong mổ là 66,15 ± 23,64 ml. Tỉ lệ tai biến và biến chứng sớm là 0%. Thời gian nằm viện sau mổ là 7,62 ngày ± 0,87 ngày. Tổng số hạch di căn là 1,62 ± 1,61 hạch. Giai đoạn bệnh sau mổ bao gồm IIIA (53,85%), IIB (23,08%), IIA (15,38%), IB (7,69%).\u0000Kết luận: Phẫu thuật bằng robot cắt dạ dày là một phương pháp phẫu thuật an toàn với các chỉ số trong mổ và sau mổ đầy khả quan.\u0000Từ khóa: Phẫu thuật robot, ung thư dạ dày.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124023426","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}

{"title":"Laparoscopic surgery for lithiasis local choledochal dilatation diagnosed a cyst: Case report and literature reviews","authors":"Tuấn Anh Đỗ","doi":"10.51199/vjsel.2021.2.7","DOIUrl":"https://doi.org/10.51199/vjsel.2021.2.7","url":null,"abstract":"Abstract\u0000Biliary dilation is common in clinical practice and originates from many pathologies; among them, choledocholithiasis, chronic pancreatitis and periampullary diverticula (PAD) are the most common. Popular signs of cholelithiasis is diffuse dilatation of the intra- and extrahepatic bile duct, however, in some cases, it might be local dilatation of the common bile duct without intrahepatic bile duct dilatation. The long-term outcome is favorable, however, it is necessary to rule out other causes such as choledochal cyst, pancreatitis by frozen section in order to have a proper diagnosis and treatment. We describe a 19-year-old female patient with local dilation of the common bile duct due to choledocholithiasis that was operated laparoscopically with success.\u0000Key word: Local common bile duct dilation, gallstones, choledochal cyst, laparoscopy.\u0000\u0000Tóm tắt\u0000Giãn đường mật là một hình thái tổn thương hay gặp trên lâm sàng, do nhiều bệnh lý khác nhau, hay gặp nhất là sỏi ống mật chủ (OMC), viêm tụy mạn và túi thừa Vater 1. Dấu hiệu phổ biến của sỏi mật là giãn đường mật trong và ngoài gan lan tỏa, tuy nhiên có trường hợp OMC giãn đơn thuần không kèm theo giãn đường mật trong gan. Tiên lượng của bệnh này là tốt, tuy nhiên cần loại trừ các nguyên nhân như nang OMC, viêm tụy bằng sinh thiết tức thì để có chẩn đoán và điều trị phù hợp nhất. Chúng tôi xin báo cáo một trường hợp người bệnh (NB) nữ, 19 tuổi mắc sỏi mật gây giãn OMC khu trú dạng nang được phẫu thuật nội soi thành công.\u0000Từ khóa: Giãn đường mật khu trú, sỏi mật, nang ống mật chủ, phẫu thuật nội soi.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131359985","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}

{"title":"Outcomes of arthroscopy in recurrent shoulder instability at\u0000Viet Duc University Hospital","authors":"Đình Bằng Cao","doi":"10.51199/vjsel.2021.2.1","DOIUrl":"https://doi.org/10.51199/vjsel.2021.2.1","url":null,"abstract":"Abstract\u0000Introduction: This study aims to assess the results of patients with recurrent\u0000shoulder dislocation treated with arthroscopic Bankart repair.\u0000Patients and Method: 31 patients (26 males and 5 females, with an average\u0000age of 28.7) were treated with arthroscopic Bankart repair from 2017 to\u00002018. Those with multidirectional instability, posterior shoulder instability\u0000and more-than-25% Hill-Sachs defects, along with those who had prior\u0000shoulder surgeries were excluded. Average follow-up time after surgery\u0000is 15.13 months. Frequency of pre-operative dislocation, post-operative\u0000dislocation, functional status and daily activity performance were evaluated.\u0000The results were assessed using CONSTANT score.\u0000Results: One patient had post-operative dislocation (3.23%). One patient\u0000had post-operative joint adhesion (3.23%). Assessment using CONSTANT\u0000score showed an excellent result in 67.4%, good in 12.9%, moderate in\u000012.9% and average in 6.46%. There was no case with poor result. One\u0000patient had post-operative dislocation due to a sport injury.\u0000Conclusions: Arthroscopic repair is a modern technology, and is being used\u0000widely in diagnosing and treating shoulder lesions. This study shows that\u0000arthroscopic repair for recurrent shoulder dislocation may bring good result\u0000for patients.\u0000Keywords: Shoulder instability, arthroscopy, Bankart.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129029155","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}

{"title":"The predictive value of diaphragm ultrasound for weaning outcomes in surgical intensive care unit","authors":"Anh Phuong Ngo, V. Trinh","doi":"10.51199/vjsel.2021.3.9","DOIUrl":"https://doi.org/10.51199/vjsel.2021.3.9","url":null,"abstract":"Abstract\u0000Introduction: Multiple studies have shown that diaphragmatic ultrasound can better predict the 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 the surgical intensive care unit (ICU).\u0000Patients 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 (RSBI) was also recorded.\u0000Results: The ventilatory treatment time (p=0,002) and length of ICU stay (p=0,005) in the weaning failure group were longer than the success group. Cut-off values of diaphragmatic measures associated with successful weaning were ≥ 30% for DTF and ≥ 14 mm for DE giving a sensitivity (Se), a specificity (Sp) of 84,4%; 73,3% and 83,3%; 83,3%, respectively. By comparison, RSBI < 80 had a sensitivity of 93,3%, a specificity of 70% for determining weaning success. The areas under the ROC curves for DTF, DE and RSBI were 0,843; 0,807 and 0,873, respectively.\u0000Conclusions: Ultrasound evaluation of diaphragmatic excursion (DE) and diaphragmatic thickness fraction (DTF) could be a good predictor of weaning outcome in a surgical intensive unit. It is recommended to consider the use of these parameters with RSBI consequently to improve weaning outcomes.\u0000Keywords: Weaning, diaphragm ultrasound, diaphragmatic dysfunction, rapid shallow breathing.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116363164","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}