Vietnam Journal of Endolaparoscopic Surgery最新文献

Results of laparoscopic retroperitoneal nephrectomy for benign nonfunction kidneys at Ninh Binh General Hospital 宁平总医院腹腔镜腹膜后肾切除术治疗良性无功能肾的结果

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2020-10-23 DOI: 10.51199/vjsel.2018.5.5

V. Trần

{"title":"Results of laparoscopic retroperitoneal nephrectomy for benign nonfunction kidneys at Ninh Binh General Hospital","authors":"V. Trần","doi":"10.51199/vjsel.2018.5.5","DOIUrl":"https://doi.org/10.51199/vjsel.2018.5.5","url":null,"abstract":"Abstract\u0000\u0000Introduction: Evaluating the result of laparoscopic retroperitoneal nephrectomy for benign nonfunctioning pathology at Ninh Binh General Hospital.\u0000Materials and Methods: 20 patients underwent laparoscopic nephrectomy surgery from 08/2016 - 03/2020 at Ninh Binh General Hospital, research with descriptive and prospective method.\u0000Results: The average operating time is 100,25 ± 22 minutes (80 - 180 minutes), the average amount of blood loss is 61,5 ± 26,6ml (30 - 100ml), the average amount of drain removal time is 2,5 ± 0,5 day (2 - 3 days), the time of taking analgesic is 3 days, the average amount of time for treatment in the hospital is 4,25 ± 1,1 days (3 - 6 days).\u0000During the operations, there is 1 case in which renal abscess and kidney inflammation occur. Therefore, it's difficult to carry out the umbilicus dissection and have to switch to kidney – removal open surgery. There are no adverse medical events or complications after the surgery.\u0000Conclusions: Laparoscopic retroperitoneal surgery in kidney removal due to nonfunctioning benign pathology is a safe and effective treatment method.\u0000\u0000Keywords: Laparoscopic nephrectomy, retroperitoneal laparoscopy.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"35 11 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":"121158227","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: 1

Result of single-incision laparoscopic cholecystectomy using Glove-Port for gallbladder stone at Viet Tiep University Hospital 在越南大学医院应用Glove-Port单切口腹腔镜胆囊切除术治疗胆囊结石的结果

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2020-03-27 DOI: 10.51199/VJSEL.2020.1.4

Van-Thuong Pham, Vũ Ngọc Sơn Phan Thị Tuyết Lan

{"title":"Result of single-incision laparoscopic cholecystectomy using Glove-Port for gallbladder stone at Viet Tiep University Hospital","authors":"Van-Thuong Pham, Vũ Ngọc Sơn Phan Thị Tuyết Lan","doi":"10.51199/VJSEL.2020.1.4","DOIUrl":"https://doi.org/10.51199/VJSEL.2020.1.4","url":null,"abstract":"Tóm tắt\u0000Đặt vấn đề: Đánh giá kết quả phẫu thuật nội soi (PTNS) một lỗ cắt túi mật (TM) sử dụng cổng găng tay điều trị sỏi TM tại Bệnh viện Hữu nghị Việt Tiệp.\u0000Phương pháp nghiên cứu: Nghiên cứu tiến cứu 20 người bệnh (NB) sỏi TM được PTNS một lỗ cắt TM từ tháng 10/2018 đến tháng 4/2019.\u0000Kết quả: Chỉ định: 19 NB sỏi TM đơn thuần, 1 NB viêm TM cấp. Tất cả NB được PTNS một lỗ thành công, không phải thêm trocar hay chuyển mổ mở. Thời gian phẫu thuật 63,7 ± 26,6 phút. 1 trường hợp tai biến chảy máu giường TM. Đau sau mổ 1,13 ngày, nằm viện sau mổ 5,7 ngày. Không có biến chứng sớm.\u0000Kết luận: PTNS một lỗ cắt TM sử dụng cổng găng tay là phương pháp khả thi, an toàn điều trị sỏi TM.\u0000\u0000Abstract\u0000\u0000Introduction: Evaluating the outcomes of Single-incision laparoscopic cholecystectomy (SILC) by using glove-port for gallbladder stone at Viet Tiep Hospital.\u0000\u0000Materials and Methods: Prospective cohort in 20 cases were treated by SILC from 10/2018 to 4/2019.\u0000\u0000Results: 19 patients with uncomplicated gallbladder stone, one patient with acute cholecystitis were enrolled. SILC was applied successfully in all patients, no more trocars required or convert to open surgery. Surgical duration was 63,7 ± 26,6 min. One bleeding complication from gallbladder bed occurred during the operation. The average of post-operative pain was 1,13 days and hospital lenght stay was 5,7 days. No early complication was observed.\u0000Conclusion: SILC by using glove-port is feasible, safe for gallbladder stone.\u0000\u0000Keywords: Single-incision laparoscopic cholecystectomy, Glove-Port","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124426209","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

Comparison of outcomes of laparoscopic choledochal cyst excision and roux-en-y hepaticojejunostomy between children and adults 儿童与成人腹腔镜胆总管囊肿切除及肝空肠roux-en-y吻合术疗效比较

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-10-01 DOI: 10.51199/vjsel.2019.4.8

T. Nguyen

{"title":"Comparison of outcomes of laparoscopic choledochal cyst excision and roux-en-y hepaticojejunostomy between children and adults","authors":"T. Nguyen","doi":"10.51199/vjsel.2019.4.8","DOIUrl":"https://doi.org/10.51199/vjsel.2019.4.8","url":null,"abstract":"Abstract\u0000\u0000Introduction: The aim of this study is to compare the outcomes of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy between adults and children\u0000\u0000Material 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.\u0000\u0000Results: 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 removal was shorter in adults (2.89 vs 3.57 days). Postoperative follow-up results after 10 days to 3 months were classified as good and fair. There were no statistically significant differences in early postoperative complications, treatment outcomes between two groups.\u0000\u0000Conclusion: Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy was safe and efficient in both adults and children. Operative time was longer in adults than in children.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121958003","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

Outcomes of laparoscopic treatment for adenocarcinoma of the right colon in Viet Duc University Hospital 越南大学医院腹腔镜治疗右结肠腺癌的疗效分析

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-10-01 DOI: 10.51199/vjsel.2019.4.7

Tucker Le, Tien H Nguyen

{"title":"Outcomes of laparoscopic treatment for adenocarcinoma of the right colon in Viet Duc University Hospital","authors":"Tucker Le, Tien H Nguyen","doi":"10.51199/vjsel.2019.4.7","DOIUrl":"https://doi.org/10.51199/vjsel.2019.4.7","url":null,"abstract":"Abstract\u0000\u0000Introduction: Purpose: To evaluate the result of laparoscopic treatment for adenocarcinoma of the right colon in Viet Duc University Hospital from 2013 to 2017.\u0000Material 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…\u0000Results: 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 of post-operative complications are surgical site infection (6,3%). Mean time until flatulence is 3.28 ± 1.16 days (2 – 6 days). Mean follow-up time is 28.5 ± 16.7 months (5.1- 61.1 months). There are 11 deaths (9.6%). Mean survival time is 55.68 ± 1.53 months. 5-year survival rate is 91,3%. Actual survival rates in 1 year, 2 years, 3 years, 4 years are 99,2%, 92,4%, 87,8%, 85,9%, respectively Conclusion: Laparoscopic surgery for treatment of adenocarcinoma of the right colon is a safe, effective procedure with low complication rates, good postoperative recovery, good oncologic outcomes and high 5-year survival rate.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"207 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121246290","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

Complications of endoscopic endonasal transsphenoidal approach for management of craniopharyngiomas 鼻内经蝶窦入路治疗颅咽管瘤的并发症

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-10-01 DOI: 10.51199/vjsel.2019.4.3

Xuan Nguyen Thanh, Hung Kieu Dinh

{"title":"Complications of endoscopic endonasal transsphenoidal approach for management of craniopharyngiomas","authors":"Xuan Nguyen Thanh, Hung Kieu Dinh","doi":"10.51199/vjsel.2019.4.3","DOIUrl":"https://doi.org/10.51199/vjsel.2019.4.3","url":null,"abstract":"Abstract\u0000\u0000Introduction: 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.\u0000\u0000Material 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.\u0000Results: The early postoperative mortality was 2/50 (4%) caused by meningitis, intra-ventricular hemorrhage. The epidural hematoma was 1/50 (2%); Meningitis 6/50 (12%); Cerebrospinal fluid (CSF) leakage occurred in 3/50 (6%); Hypothalamus damage was 1/50 (2%), Visual deterioration was 3/50 (6%) Conclusion: Almost Craniopharyngioma have been removed successfully by endoscope transsphenoidal surgery. However, still the surgical complication rate was related high such as meningitis, visual deterioration, CFS leakage and postoperative mortality rate recorded.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115124186","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

Robotic-assisted surgery for low rectal cancer: Initial experiences from 15 consecutive cases at Cho Ray Hospital 机器人辅助低位直肠癌手术:Cho Ray医院连续15例的初步经验

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-10-01 DOI: 10.51199/vjsel.2019.4.4

V. Lam

{"title":"Robotic-assisted surgery for low rectal cancer: Initial experiences from 15 consecutive cases at Cho Ray Hospital","authors":"V. Lam","doi":"10.51199/vjsel.2019.4.4","DOIUrl":"https://doi.org/10.51199/vjsel.2019.4.4","url":null,"abstract":"Abstract\u0000\u0000Introduction: 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.\u0000\u0000Material 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.\u0000\u0000Results: Between October 2017 and June 2018, robotic-assisted laparoscopic resection with total mesorectal excision has performed on 15 consecutive patients with rectal cancer at Cho Ray hospital. The mean age was 50. Male/ female ratio was 2.75/1. The types of procedures performed were: 13 low anterior resections (LAR), 1 intersphincteric resection with coloanal anastomosis, and 1 abdominoperineal resection (APR). The overall mean operation time was 240 minutes. None of the cases was converted to open procedure. Mean harvested lymph nodes were 12. There was no surgical morbidity or mortality. On the postoperative day 1 and 2, mean visual analog scale (VAS) scores were 3.5. Mean postoperative hospital stay was 7.5 days.\u0000Conclusion: Robotic-assisted laparoscopic resection for low rectal cancer is a feasible and safe procedure with acceptable oncological results.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"506 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116383978","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

Early results of laparoscopic pelvic lymph node dissection in rectal cancer surgery 腹腔镜盆腔淋巴结清扫术在直肠癌手术中的早期效果

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-10-01 DOI: 10.51199/vjsel.2019.4.2

H. Duc

{"title":"Early results of laparoscopic pelvic lymph node dissection in rectal cancer surgery","authors":"H. Duc","doi":"10.51199/vjsel.2019.4.2","DOIUrl":"https://doi.org/10.51199/vjsel.2019.4.2","url":null,"abstract":"Abstract\u0000\u0000Introduction: 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.\u0000\u0000Material 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.\u0000\u0000Result: From January 2017 to February 2018 we performed 12 cases of LPLND. There was no con-version to open surgery. The average time for lymphadenectomy is 75 minutes with an average amount of blood loss of 97ml. Only 1 case had postoperative urinary retention (8%). The rate of pos-itive pelvic node was 5.8%, with an average of resected nodes of 4.9 nodes. Lymph nodes size on MRI scan in the positive pelvic node group was 20.6mm, compared to 7mm in the negative group.\u0000\u0000Conclusion: Laparoscopic lateral pelvic lymph node dissection is a feasible and safe technique and should be done by experienced colorectal surgeons. Aging, female sex and pelvic lymph node size on MRI are related to pelvic lymph node metastasis.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132964918","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

Initial outcomes of laparoscopic Heller-Dor myotomy fundoplication for (esophageal) achalasia at Nghe An Friendship General Hospital 在义安友谊总医院腹腔镜Heller-Dor肌切开术治疗(食管)贲门失弛缓症的初步结果

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-10-01 DOI: 10.51199/vjsel.2019.4.5

Vannhu Nguyen

{"title":"Initial outcomes of laparoscopic Heller-Dor myotomy fundoplication for (esophageal) achalasia at Nghe An Friendship General Hospital","authors":"Vannhu Nguyen","doi":"10.51199/vjsel.2019.4.5","DOIUrl":"https://doi.org/10.51199/vjsel.2019.4.5","url":null,"abstract":"Abstract\u0000\u0000Introduction: 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 .\u0000\u0000Material 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.\u0000\u0000Results: 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%, average weight loss was 6.7 ± 5.5 (3-15) kg ???.=> does not make sense ! X-ray with contrast of esophageal revealed bird beak sign: 41.7%, sigmoid form 16.7% normal or slight dilation 41.6%. ?? The average operation time was 138.8 ± 9,4 (77-180) mins. The complication occurred during the surgery (bleeding converted to open surgery). No other complications such as perforation occurred during and after the surgery. The average length of postoperative hospital stay was 7.5 ± 0.5 (5-11) days. Quality of life after surgery was very good and good in 83.3% and average 16.7%.\u0000\u0000Conclusion: Laparoscopic surgery in treatment of achalasia by Heller – Dor technique was safe and effective, with less postoperative pain, fast recovery and short hospital length stays. Almost patients satisfied with the results of this procedure. However, due to the sample size of this study is small so it is necessary to conduct other studies with larger sample size.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114305831","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

Initial result of uniportal non-intubated thoracoscopic surgery to manage the thoracic diseases at Vietduc University Hospital 在越南大学医院进行单门非插管胸腔镜手术治疗胸部疾病的初步结果

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-10-01 DOI: 10.51199/VJSEL.2019.4.1

Lu Pham Huu, Nguyen Huu Uoc Do Danh Quynh Trinh Ke Diep

{"title":"Initial result of uniportal non-intubated thoracoscopic surgery to manage the thoracic diseases at Vietduc University Hospital","authors":"Lu Pham Huu, Nguyen Huu Uoc Do Danh Quynh Trinh Ke Diep","doi":"10.51199/VJSEL.2019.4.1","DOIUrl":"https://doi.org/10.51199/VJSEL.2019.4.1","url":null,"abstract":"Abstract\u0000\u0000Introduction: The study aimed to evaluate the initial results of uniportal non-intubated thoracoscopic surgery for treatment of thoracic diseases at the VietDuc University Hospital.\u0000\u0000Material 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.\u0000\u0000Results: 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%); NSLC (lobectomy + dissection node): 05 (29,4%). The average operative time: 108,6 ± 28,17 minutes (60 – 160). The average drainage time was 3,7 ± 1,18 days (2 – 8). The average hospitalization time was 4,9 ± 1,76 days (3 – 12). No mortality and major complications after operation was recorded.\u0000\u0000Conclusion: Treatment of thoracic diseases with uniportal non-intubated thoracoscopic surgery is a safe, feasible, and well-tolerated .","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129656666","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

Results of manangement for post-chest trauma and chest wound retrained hemothorax and empyema by VATs at Viet Duc University Hospital 越南大学医院VATs治疗胸外伤后和胸外伤后血胸和脓胸的结果

Vietnam Journal of Endolaparoscopic Surgery Pub Date : 2019-09-04 DOI: 10.51199/vjsel.2019.3.3

H. Phạm, V. Nguyen

{"title":"Results of manangement for post-chest trauma and chest wound retrained hemothorax and empyema by VATs at Viet Duc University Hospital","authors":"H. Phạm, V. Nguyen","doi":"10.51199/vjsel.2019.3.3","DOIUrl":"https://doi.org/10.51199/vjsel.2019.3.3","url":null,"abstract":"Abstract\u0000\u0000Introduction: To describe several clinical and para-clinical signs of patients with post-chest trauma and chest wound retained hemothorax and empyema treated at Viet Duc Hospital from 1/2015 to 4/2018, and to report the early results of treatment.\u0000\u0000Material and Methods: Retrospective descriptive study of patients diagnosed post-chest trauma and chest wound retained hemothorax and empyema treated by Video Assisted Thoracoscopic (VAT) surgery at Viet Duc Hospital from 1/2015 to 4/2018.\u0000\u0000Results: 59 patients, of them the mean age was 39,63 ± 15,78. The mean duration from injury onset to surgery was 16,64 ± 9,81 days. Chest trauma were 45 cases (76,27%), and chest wounds were 14 cases (23,73%). 46 patients (90,2%) had been treated by chest tube drainage at lower level hospitals. The rate of patients with fever and high white blood cells were 18,6 % and 64,4% respectively. There were 50,85% treated by thoracoscopic surgery, and other in 49,15% treated by VAT surgery. The mean duration of the removal of chest drainage after the thoracoscopic surgery was 4,93 days shorter than the group underwent VAT surgery was 7,01 days (p = 0.004). The post-operative days in group with total thoracoscopic surgery lower than 7 days was 83,33%, higher than the group of patients underwent VAT surgery (41,38%) with p = 0.003. The rate of patients indicated for pain-killer and complications occurred after the total thoracoscopic surgery were 23,33% and 6,67%, lower than those in group with VAT surgery, were 58,62% and 10,34%.\u0000Conclusion: Post-chest trauma and chest wound retained hemothorax and empyema were most common surgical emergencies. Thoracoscopic surgery is a safe and effective treatment method to the patients.\u0000\u0000Keywords: Retained hemothorax, post-trauma and chest wound empyema, video-assisted thoracoscopic surgery.","PeriodicalId":199241,"journal":{"name":"Vietnam Journal of Endolaparoscopic Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128482089","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