Vietnam Journal of Endolaparoscopic Surgey最新文献

{"title":"The result of using free flap reconstruction for oral cavity cancer","authors":"Mai Bui","doi":"10.51199/vjsel.2020.5.14","DOIUrl":"https://doi.org/10.51199/vjsel.2020.5.14","url":null,"abstract":"Abstract\u0000\u0000Introduction: In recent years, cancer in the oral cavity is a fairly common disease in Vietnam. The treatment of this pathology requires the coordination of many different specialties such as wide resection removal of the tumor, reconstructive surgery, radiotherapy ... Reconstruction of post-excision tumor in the oral cavity is always a challenge with the surgeon. The report aims for providing results and sharing the team’s experience in using free flap to cover gaps in the oral cavity after cancer removal.\u0000Materials and Methods: Cross-sectional study on 21 patients who had surgery to wide resection cancers tumor in the oral cavity and been covered with free flap. Research randomly selected for age and gender. The results are evaluate the falp survival rate, the degree of coverage, function and aesthetics after surgery, the 5-year overallsurvivalrates.\u0000\u0000Results: 21 patients had the ratio of male / female: 15/6; ages 39-62 years old. Pathologys results of 16/21 patients were squamous cell carcinoma; 3/21 is adenoma mucoepidermoid carcinoma, 2/21 mandibular osteosarcoma. The proportion of patients having chemotherapy before surgery is 4/21, radiation before surgery is 6/21. 100% flap survival rate is 19/21; Partial necrosis of the flap 2/21. 19/21 patients had radiation therapy after surgery. The 5 – years overall survival rate to the end of the study were 11/21.\u0000Conclusions: Using free flap to cover the defect after cancer tumor remoaval in 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, minimize morbidity at donor site. However, the surgery needs a team work of highly trained, multi-specialists coordination and modern equipment.\u0000\u0000Keywords: Microsurgical flap, oral cavity cancer, squamous cell carcinoma.\u0000\u0000Tóm tắt\u0000Đặt vấn đề: Trong những năm gần đây, ung thư trong khoang miệng là bệnh lý thường gặp tại Việt Nam. Việc điều trị bệnh lý này yêu cầu phối hợp của nhiều chuyên khoa khác nhau như phẫu thuật cắt bỏ khối ung thư rộng rãi, tạo hình che phủ, hóa xạ trị… Tạo hình che phủ sau cắt bỏ ung thư trong khoang miệng luôn là một thách thức với các phẫu thuật viên. Báo cáo nhằm đưa ra kết quả và chia sẻ những kinh nghiệm của nhóm nghiên cứu trong sử dụng vạt vi phẫu che phủ khuyết hổng trong khoang miệng sau cắt bỏ ung thư.\u0000Phương pháp nghiên cứu: Nghiên cứu lâm sàng trên 21 người bệnh được phẫu thuật cắt khối ung thư trong khoang miệng và che phủ khuyết hổng bằng vạt vi phẫu lấy ngẫu nhiên về độ tuổi và giới tính. Đánh giá kết quả theo tỷ lệ sống của vạt, mức độ che phủ, chức năng và thẩm mỹ sau phẫu thuật, tỷ lệ sống trên 05 năm của người bệnh.\u0000\u0000Kết quả: 21 người bệnh có tỷ lệ nam/nữ : 15/6; độ tuổi từ 39 - 62 tuổi. Kết quả giải phẫu bệnh 16/21 người bệnh là ung thư biểu mô tế bào vảy; 3/21 là ung thư tuyến nước bọt phụ, 2/21 ung thư xương hàm dưới. Tỷ lệ người bệnh có điều trị hóa chất trước phẫu thuật là 4/21, xạ trị trước phẫu ","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127243307","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 tme with sphincter preservation for rectal cancer: Five-year results","authors":"H. T. Nguyễn","doi":"10.51199/vjsel.2020.5.8","DOIUrl":"https://doi.org/10.51199/vjsel.2020.5.8","url":null,"abstract":"Abstract\u0000\u0000Introduction: Laparoscopic surgery for rectal cancer has showed many advantages. Adjuvant chemotherapy can improve local recurrence, metastasis and survival.\u0000Materials and Methods: We reviewed rectal cancer patients who underwent laparoscopic rectal resection and adjuvant radio-chemotherapy at UMC from 11/ 2013 to 08/2016.\u0000Results: The local recurrence rate was 8,8%, the distant metastases was 19,3%. The 5 years overall survival (OS) and disease- free survival (DFS) were 82,7% and 74,6%, respectively.\u0000Conclusions: Laparoscopic resection and adjuvant radio-chemotherapy for rectal cancer was effective and safe on oncologic outcome, good results on survival.\u0000Keywords: Laparoscopic surgery, adjuvant therapy.\u0000\u0000Tóm tắt\u0000Đặt vấn đề: Phẫu thuật nội soi điều trị ung thư trực tràng có nhiều ưu điểm. Điều trị hỗ trợ sau mổ giúp cải thiện tỉ lệ tái phát tại chỗ, di căn xa và sống còn. \u0000Phương pháp nghiên cứu: Hồi cứu các người bệnh ung thư trực tràng được phẫu thuật nội soi cắt đoạn đại trực tràng và điều trị hoá - xạ trị sau mổ từ 11/2013 đến 08/2016 tại Bệnh viện Đại học Y dược TP. Hồ Chí Minh.\u0000Kết quả: Tỉ lệ tái phát tại chỗ 8.8%, di căn xa 19,3%. Tỉ lệ sống chung và sống không bệnh sau 5 năm lần lượt là 82,7% và 74,6%.\u0000Kết luận: Phẫu thuật nội soi cắt đoạn đại trực tràng và điều trị hỗ trợ trong ung thư trực tràng hiệu quả và an toàn về mặt ung thư học, kết quả tốt về mặt sống còn.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131895300","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":"Results of blunt hepatic trauma surgery at Nghe An General Friendship Hospital","authors":"H. Nguyễn","doi":"10.51199/vjsel.2020.5.9","DOIUrl":"https://doi.org/10.51199/vjsel.2020.5.9","url":null,"abstract":"Abstract\u0000\u0000Introduction: To evaluate the results of surgical treatment of blunt hepatic trauma at Nghe An General Friendship Hospital.\u0000\u0000Materials and Methods: This was a retrospective descriptive study which included 37 patients who were diagnosed with blunt hepatic trauma and underwent surgery from January 2014 to April 2020 at Nghe An General Friendship Hospital.\u0000 Results: There were 30 males (81.1%) and 7 females (21.9%). The mean age of the patients was 32.32 ± 11.053 (ranged from 7 to 57). Traffic accident accounted for 67.6% and grade IV liver injury contributed\u0000\u000054.6%. The selective combined with complete Glissonean pedicle management technique was carried out in 75.7% of the patients. The treatment methods included suture (32.4%), hepatectomy (48.6%), suture with gauze packing (10.8%), gauze packing only (8.1%) and gallbladder drainage (51.4%). The intra- and post-operative complications consisted of biliary fistula (2.7%), bleeding (5.4%), post-operative liver failure (2.7%), pneumonia (10.8%) and mortality (10.8%). The results were as following: Good 68.8%, Average (15.6%) and Bad (15.6%).\u0000\u0000Conclusions: Blunt hepatic trauma is an emergency surgical and with patients who do not have conservative treatment, the treatment is surgery. The timely appointment and the right method bring good results for these patients.\u0000\u0000Keywords: Blunt hepatic trauma, liver trauma; liver surgery.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133092528","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":"Restoration of Trigeminal Cutaneous Sensation with Cross-Face Sural Nerve Grafts: Case Report and Literature Review","authors":"Trung-Truc Vu","doi":"10.51199/vjsel.2020.5.15","DOIUrl":"https://doi.org/10.51199/vjsel.2020.5.15","url":null,"abstract":"Abstract\u0000\u0000Complete anesthesia leaves patients susceptible to occult injury, and facial sensation is an important component of interaction and activities of daily living. Although treating facial palsy is considered debilitating for patients, trigeminal nerve palsy and sensory deficits of the face are overlooked components of disability. The authors reported the first case in Vietnam: 38 year-old man who lost the sensation on his right face follow by V cranial nerve tumor resection one year before. The sensation of the trigeminal cutaneous nerve was restored with cross-face sural nerve graft from contralateral side in 2018. The patient demonstrated improved sensation in the reconstructed dermatomes without donor-site aNBormalities at the time of 18 months post operation.\u0000\u0000Keywords: Facial palsy, facial sensation, trigeminal nerve tumor, cross-face nerve graft.","PeriodicalId":115149,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgey","volume":"29 21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116484485","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}