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  • 1
    Online Resource
    Online Resource
    Gallstones and common bile duct stones: single or separated-step endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy?
    Ministry of Science and Technology, Vietnam (VMOST) ; 2018
    In:  Vietnam Journal of Science, Technology and Engineering Vol. 60, No. 3 ( 2018-9-30), p. 55-58
    Details
    In: Vietnam Journal of Science, Technology and Engineering, Ministry of Science and Technology, Vietnam (VMOST), Vol. 60, No. 3 ( 2018-9-30), p. 55-58
    Abstract: Purpose:the treatment of concomitant gallstones and common bile duct (CBD) stones by endoscopic retrograde cholangiopancreatography (ERCP) following laparoscopic cholecystectomy (LC). The analysis of single-step or separated-step characteristics. Object: during the three years (2015-2017), 68 patients having CBD stones concomitant gallstones suitable criteria for inclusion at Hue Central Hospital. Retrospective clinical description study. Results: the average age is 52.2±12.5 years (24-90) and the male/female ratio is 0.7/1 (27/41). Abdominal pain was the most common symptom 91.2%, which was followed by jaundice 51.5%; direct bilirubin increased by 27.3±15.6 μmol/l (2.2-165). The size of CBD stones is 12.4±3.2 mm (6-20), the size of gallstones is 11.3±6.2 mm (5-36). The first time CBD stones 95.6%, recurrent CBD stones 4.4%. Single-step ERCP and LC 34 patients, separated-step group: ERCP 1.4±2.5 times and secondary LC. Single-step ductal clearance 76.5%, separated-step ductal clearance 94.1% (p=0.041). Length of hospital stay 6.5±4.3 days and 13.6±2.2 days (p 〈 0.0001). Conclusions: the rate of ductal clearance in the separated-step group was significantly higher than the single-step group with p=0.041. The indication of laparoscopic cholecystectomy immediately ERCP should be based on the patient’s morbidity, the ductal clearance as well as the prognostic complications of ERCP.
    Type of Medium: Online Resource
    ISSN: 2525-2461
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.31276/VJSTE.60(3)
    DOI: 10.31276/VJSTE.vol(number).page
    DOI: 10.31276/VJSTE.60(3).55
    Language: Unknown
    Publisher: Ministry of Science and Technology, Vietnam (VMOST)
    Publication Date: 2018
    detail.hit.zdb_id: 3145662-5
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  • 2
    Online Resource
    Online Resource
    Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer
    Ministry of Science and Technology, Vietnam (VMOST) ; 2017
    In:  Vietnam Journal of Science, Technology and Engineering Vol. 59, No. 2 ( 2017-6-30), p. 48-52
    Details
    In: Vietnam Journal of Science, Technology and Engineering, Ministry of Science and Technology, Vietnam (VMOST), Vol. 59, No. 2 ( 2017-6-30), p. 48-52
    Abstract: Objective: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an important evolution in minimally invasive surgery (MIS) nowaday. This paper presents the techniques and early results of the pure transanal and transvaginal laparoscopies (NOTES) used for the treatment of colorectal cancer. Material and method: Prospective studies were conducted at Hue Central Hospital, Vietnam. Patients: From December 2013 to September 2015, 22 cololorectal cancer patients (18 rectums, 3 sigmoid tumors and 1 descending colon), adenocarcinoma, T≤ T3N1M0. Methods: The patients were placed in lithotomy and Trendelenburg positions, and the lone-star retractor was placed in the anus (rectum cancer) or vagina (sigmoid cancer). The surgical cavity was then inflated with CO2 and set at 12 mm/Hg. Dissection was continued until inside of the abdominal cavity (transanal technique). After that, the rectum was pushed into the abdominal cavity. The IMA and IMV were divided (TME included) in both techniques. After finishing dissection, the specimens were pulled out through the anus or vagina to prepare anastomosis. Coloanal and colorectal anastomosis were either hand-sewn (6 cases) or sealed with EEA staplers (16 cases). Results: 2 patients needed one more 5 mm umbilical port in RLQ, 2 patients needed two 5 mm trocars (post radiation hemorrhage, and urethral perforation). One patient converted to open and 1 patient converted to the HYBRID-NOTES procedure. The operation time was 258±40 (190-300) minutes. All patients required minimal analgesia. Bowel movement returned on the first day to 16 patients (average: two days, maximum: three days). The hospital stay was 7±2.8 (4-14) days. Kirwan classification (sphincter function) was very good (stage I: 18). Conclusions: Pure transanal and transvaginal laparoscopies for the treatment of colorectal cancer are feasible and safe. We believe that this is the first pure transvaginal laparoscopy (NOTES) for human in the world. A multicentric study in a large numbers of patients and a long follow-up is necessary.
    Type of Medium: Online Resource
    ISSN: 2525-2461
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.31276/VJSTE.59(2)
    DOI: 10.31276/VJSTE.vol(number).page
    DOI: 10.31276/VJSTE.59(2).48
    Language: Unknown
    Publisher: Ministry of Science and Technology, Vietnam (VMOST)
    Publication Date: 2017
    detail.hit.zdb_id: 3145662-5
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  • 3
    Online Resource
    Online Resource
    SINGLE PORT LAPAROSCOPIC SURGERY FOR RIGHT COLON CANCER CAUSE ANALYSIS FOR CONVERSION TO LAPAROTOMY
    Hue University of Medicine and Pharmacy ; 2014
    In:  Journal of Medicine and Pharmacy
    Details
    In: Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
    Abstract: Purpose: Analysis about disease, technical characteristics of 17 right colon cancer patients underwent conversion to laparotomy from single port laparoscopic surgery and propose related factors for indications. Methold: Consist of 17 colon cancer patients, who were conversion to laparotomy from single port laparoscopic colectomy at Hue Central Hospital from october 2010 to august 2014. Results: Mean age 61.3±14.2 years, rate male/female 11/6. Tumor invasion: T2 11.8%, T3 58.8%, T4 29.4%. Mean tumor size on CT 6.5±2.2cm. The causes of conversion: very big tumors 29.4%, invasive-adhesive tumors 47.1%, extended surgery 23.5%. Open procedures: right hemicolectomy 70.6%, right hemicolectomy plus cholecystectomy 5.9%, right hemicolectomy plus wedge-shape duodenectomy 11.8%, right hemicolectomy plus intestinal segmentectomy 5.9% and right hemicolectomy plus low-anterior rectal resection, hysterectomy 5.9%. Conclusion: Conversion to laparotomy from single port laparoscopic colectomy is necessary for very big tumors, excessive tumor adhesions and exceed the technical limitations of laparoscopic dissection. Key words: Single incision laparoscopic colectomy (SILC), single port laparoscopic colectomy (SILC), conversion to laparotomy.
    Type of Medium: Online Resource
    ISSN: 1859-3836
    URL: Journal
    URL: Article
    DOI: 10.34071/jmp
    DOI: 10.34071/jmp.2014.4_5.14
    Language: Vietnamese
    Publisher: Hue University of Medicine and Pharmacy
    Publication Date: 2014
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  • 4
    Online Resource
    Online Resource
    Single port laparoscopic colectomy for colonic cancer
    Ministry of Science and Technology, Vietnam (VMOST) ; 2017
    In:  Vietnam Journal of Science, Technology and Engineering Vol. 59, No. 4 ( 2017-12-30), p. 42-46
    Details
    In: Vietnam Journal of Science, Technology and Engineering, Ministry of Science and Technology, Vietnam (VMOST), Vol. 59, No. 4 ( 2017-12-30), p. 42-46
    Abstract: Objectives: The evaluation of feasibility, safety, and outcomes of single port laparoscopic colectomy (SPLC) for colonic cancer. Prospective study of 114 patients with colonic cancer (84 right side, 17 left side, and 13 sigmoid colon) who underwent SPLC between October 2010 and October 2016 in Hue Central Hospital. Results: Mean age of patients was 56.1±15.2 (25-87 years), male/female ratio was 70/44. Mean BMI was 23.5±2.2 kg/m2. Procedures included 84 right hemi-colectomies (73.7%), 17 left hemi-colectomies (14.9%), and 13 sigmoidectomies (11.4%). Six cases required additional ports, and 19 were converted to open surgery. Mean tumor size was 3.7±2.7 cm. Stage I: 6.1%; stage IIa: 43.9%; stage IIIa: 36.8%; and stage IIIc: 13.2%. Mean operation time was 160.5±75.5 min. There had been no deaths/intraoperative complications. Mean incisional length (including extraction) was 5.5±2.2 cm. Mean lymph nodes was 16.2±4.5. Mean hospital stay was 7.5±6.1 days. The surgical site infection rate was 3.5%, and 1 patient required reoperation (anastomotic leakage: 0.9%). After 32.2±7.5 (3-65 months) follow-up, there were no late surgical complication, incisional hernia, or incision metastasis. There were five local recurrences, and three patients developed liver metastasis in the open conversion group. The overall survival time after 2 years was 87.5%, and after 5 years, it was 59.4% (Kaplan-Meier). Conclusion: SPLC is feasible and safe procedure for the treatment of colon cancer. The cosmetic value is better (short incision confounded by umbilicus). Other outcomes were equivalent to conventional laparoscopy.
    Type of Medium: Online Resource
    ISSN: 2525-2461
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.31276/VJSTE.59(4)
    DOI: 10.31276/VJSTE.vol(number).page
    DOI: 10.31276/VJSTE.59(4).42
    Language: Unknown
    Publisher: Ministry of Science and Technology, Vietnam (VMOST)
    Publication Date: 2017
    detail.hit.zdb_id: 3145662-5
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