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  • Vietnam Association for Surgery and Endolaparosurgery  (10)
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  • Vietnam Association for Surgery and Endolaparosurgery  (10)
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  • 1
    Online Resource
    Online Resource
    Early results of laparoscopic pelvic lymph node dissection in rectal cancer surgery
    Vietnam Association for Surgery and Endolaparosurgery ; 2019
    In:  Vietnam Journal of Endolaparoscopic Surgery Vol. 9, No. 4 ( 2019-10-1)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgery, Vietnam Association for Surgery and Endolaparosurgery, Vol. 9, No. 4 ( 2019-10-1)
    Abstract: Abstract Introduction: 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. Material 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. Result: 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. Conclusion: 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.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2019.(9)
    DOI: 10.51199/vjsel.2019.4
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2019.4.2
    Language: English
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2019
    Location Call Number Limitation Availability
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  • 2
    Online Resource
    Online Resource
    Laparoscopic-assisted pancreaticoduodenectomy for periampullary cancer
    Vietnam Association for Surgery and Endolaparosurgery ; 2020
    In:  Vietnam Journal of Endolaparoscopic Surgery Vol. 10, No. 4 ( 2020-10-23)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgery, Vietnam Association for Surgery and Endolaparosurgery, Vol. 10, No. 4 ( 2020-10-23)
    Abstract: Abstract Introduction: Laparoscopic pancreaticoduodenectomy is one of the most complicated major surgeries. The postoperative mortality and morbidity are still a burden of hepato-pancreato-biliary surgery. Aim of this study is to assess the short-term outcome of laparoscopic Whipple procedure for periampullary cancer. Materials and methods: Case series report. Results: From 1/2018 to 1/2019, we had performed laparoscopic Whipple procedure in 21 patients. The intracorporeal hepatico-jejunal anastomosis had been formed in all the cases. The pancreaticojejunal and gastro-jejunal anastomosis had been formed extracorporeally through small 5cm midline incision. The pancreatic duct had been drained with 8F drainage. The average operation time was 364 minutes. The average intraoperation blood loss was 175ml. Postoperative mean length of stay was 12.1 days. Pancreaticojejunal anastomosis accounted for 19,0%. Postoperative bleeding occurred in 2 patient (9%) whom were converted to open surgery for control bleeding. In our series, there was no postoperative mortality. Conclusions: Laparoscopic-assisted pancreaticoduodenectomy is safe with low postoperative morbidity and mortality. This procedure is feasible for treatment of periampullary cancer.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2020.(10)
    DOI: 10.51199/vjsel.2020.4
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2020.4.9
    Language: English
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2020
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  • 3
    Online Resource
    Online Resource
    Evaluating the outcomes of 3D laparoscopic nephrectomy for bengin non-functioning kidneys
    Vietnam Association for Surgery and Endolaparosurgery ; 2022
    In:  Vietnam Journal of Endolaparoscopic Surgey Vol. 12, No. 3 ( 2022-8-15)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgey, Vietnam Association for Surgery and Endolaparosurgery, Vol. 12, No. 3 ( 2022-8-15)
    Abstract: Abstract Introduction: Previous endoscopic systems with 2D (2D) screens provide the surgeon with an indirect vision. To inprove this, 3D laparoscopic surgery was perfomed and has become a breakthrough in the era of minimally invasive surgery with high image definition, stability, good depth sense, reducing the burden on the surgeon's vision. At Hue Central Hospital, since 2020 we have applied regularly 3D endoscopic surgery for urological kidney diseases but not too many research projects to evaluate the safety, effectiveness and applicability of these means. Therefore, we carried out the topic: "Evaluating the results of 3D laparoscopic nephrectomy due to benign pathology". Patients and methods: 3D LN was performed on patients diagnosed with non-functioning kidneys at Hue central hospital from 1/2021 to 11/2021. Variables including standard features, clinical, subclinical, preoperative and postoperative results, perception of surgeons after surgery and how 3D vision impact their emotional states, were recorded. In addition, the duration of operation between high and low BMI groups as well as the adhesion inflammation level in kidney were also analyzed and compared. Results: Samples included 17 cases, with male:female is 6:11. Mean age was 58.18 11.66 (32-85). All cases were performed by transperitoneal laparoscopic nephrectomies. Mean operation time was 136,76 37,66 minutes, average blood loss was 85,0 21,36 ml (50-120). Mean length of stay was 8,88 3,44 days (5-18). Mean VAS score was 6,57 1,42. Complications had 3 cases: 2 cases had pyonephrosis, 1 case had acute pancreatitis without re-operated need. High BMI, hydronephrosis or nephritis didnt impact excessively on operation time. We recorded diversity of side effects from 3D lapararoscopy such as headache, nausea with some initial cases. Average STAI-6 score was 12,88 2,67. According to feeling of surgeons, they concurred with image quality, depth perception, eye-hand coordination during surgery were acceptable. Conclusion: 3D laparoscopic nephrectomy is safe, efficient. Using 3D vision for laparoscopy in order to obtain better image quality, has more depth and improve eye-hand coordination rather than 2D system. Keywords: Laparoscopic nephrectomy; 3D laparoscopy; non-functioning kidney.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2022.(12)
    DOI: 10.51199/vjsel.2022.3
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2022.3.9
    Language: English
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2022
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  • 4
    Online Resource
    Online Resource
    Risk factors for anatomotic leakage after laparoscopic intracorporeal colorectal anastomosis with a double stapling technique
    Vietnam Association for Surgery and Endolaparosurgery ; 2021
    In:  Vietnam Journal of Endolaparoscopic Surgey Vol. 11, No. 3 ( 2021-9-30)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgey, Vietnam Association for Surgery and Endolaparosurgery, Vol. 11, No. 3 ( 2021-9-30)
    Abstract: Abstract Objective: This study aimed to identify the risk factors for anastomotic leakage after laparoscopic (intracorporeal) colorectal anastomosis with a double stapling technique at University Medical Center (UMC), Ho Chi Minh City. Patients and Methods: Retrospective study. Between 2008 and 2014, a total of 227 patients underwent laparoscopic rectal resection including anterior and low anterior resection. We identified risk factors for anastomotic leakage after using double stapling technique in laparoscopic rectal resection by univariate analysis. Results: There were 227 patients enrolled in study, male accounted for 51%, median age was 67. The location rate of a tumor above the anterior peritoneal reflection was 55.5%, stage III accounted for 91.6%. Anastomotic leakage rate was 4.8%. Anastomotic leakage rate of tumors located above anterior peritoneal reflection (Ra) was higher than those below anterior peritoneal reflection (Rb) (p=0.03). Other factors such as tumor size, stage, neoadjuvant chemo-radiotherapy, protective ileostomy and number of stapler firings were not significantly associated with anastomotic leakage risk. Conclusion: Anastomotic leakage rate after laparoscopic (intracorporeal) colorectal anastomosis with a double stapling technique was 4.8%. Tumor location was the risk factor of anastomotic leakage. Anastomotic leakage rate of tumors located above anterior peritoneal reflection was higher than those below, accounting for 7.9% and 1%,respectively. Keywords: Laparoscopic rectal resection using double stapling technique, anastomotic leakage, risk factor.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2021.(11)
    DOI: 10.51199/vjsel.2021.3
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2021.3.2
    Language: English
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2021
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  • 5
    Online Resource
    Online Resource
    COVID-19 pandemic: Impacts on diagnosis and treatment of colorectal cancer
    Vietnam Association for Surgery and Endolaparosurgery ; 2022
    In:  Vietnam Journal of Endolaparoscopic Surgey Vol. 12, No. 3 ( 2022-8-15)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgey, Vietnam Association for Surgery and Endolaparosurgery, Vol. 12, No. 3 ( 2022-8-15)
    Abstract: Abstract Introduction: Since its first strike in 2019, the highly contagious Sars-Cov-2 virus has not only directly caused millions of deaths in Vietnam but also indirectly affected many other diseases such as colorectal cancer. In order to clarify this statement, this study was conducted to investigate the difference in disease stage, curative rate of colorectal cancer before and after the Covid-19 outbreak. Patients and Methods: A retrospective study was conducted at Univercity Medical Center, Ho Chi Minh city. Data on cancer stage, surgical methods, and rate of preoperative and postoperative complications were collected from patients treated at the hospital in two stages: group A including patients from February to April 2021 (before applying social distancing) and group B including patients from September to November 2011 (when applying social distancing). Results: When comparing 201 patients in group A and 150 patients in group B, the results showed that the clinical characteristics of the two groups were identical. However, the percentage of cancer that had metastasized at the time of diagnosis was significantly higher in group B than in group A (32% vs 21.4%, p = 0.025), leading to a decrease of radical cure rate in group B (44.7% versus 69.1%, p 〈 0.001). Particularly for rectal cancer, the rate of advanced tumors (stage T3 CRM+ or T4) in group B was higher than in group A (77.2% vs 58.1%, p = 0.026). Conclusion: In general, not only directly threatening peoples health, the Covid-19 pandemic also delayed the diagnosis of colorectal cancer due to the influence of distancing regulation and the patient's psychological fear, thereby affecting patients prognosis. Keywords: Covid-19, Sars-Cov-2 virus, colorectal cancer, advanced stage cancer.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2022.(12)
    DOI: 10.51199/vjsel.2022.3
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2022.3.11
    Language: English
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2022
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  • 6
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    Online Resource
    The early results of Robotic surgeryin treating pancreatic and hepatobiliarydiseases at Binh Dan Hospital
    Vietnam Association for Surgery and Endolaparosurgery ; 2018
    In:  Vietnam Journal of Endolaparoscopic Surgery Vol. 8, No. 3 ( 2018-8-8)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgery, Vietnam Association for Surgery and Endolaparosurgery, Vol. 8, No. 3 ( 2018-8-8)
    Abstract: Tóm tắt Đặt vấn đề: Phẫu thuật nội soi đã được áp dụng phổ biến trong bệnh lý gan mật tụy. Gần đây, phẫu thuật nội soi robot hỗ trợ là một tiến bộ mới của phẫu thuật ống mật chủ, túi ít xâm lấn, cải thiện những bất lợi của phẫu thuật nội soi thông thường. Mục tiêu của chúng tôi là chia sẻ những kinh nghiệm sớm trong việc sử dụng Robot trong phẫu thuật gan mật tụy cũng như cập nhật vấn đề thời sự này. Phương pháp nghiên cứu: Nghiên cứu mô tả hàng loạt ca: 18 trường hợp (TH) bệnh lý gan mật tụy được phẫu thuật tại Bệnh viện Bình Dân từ tháng 01/2017 đến 09/2018 sử dụng hệ thống Robot da Vinci. Kết quả: Trong 18 TH bệnh lý gan mật tụy: 6 TH ung thư gan, 2 TH u thân đuôi tụy, 5 TH cắt tá tụy, 1 TH túi mật, và 4 TH nang ống mật chủ. Phẫu thuật thành công 17 TH, có 1 TH nang ống mật chủ chuyển mổ mở. Không có biến chứng trong phẫu thuật liên quan đến Robot. Không có biến chứng nặng. Không có tử vong. Kết luận: Sử dụng phẫu thuật nội soi có robot hỗ trợ trong bệnh lý gan mật tụy an toàn và khả thi Abstract Introduction: Laparoscopic surgery has been widely used in treating the pancreatic and hepatobiliary diseases. Recently, robot - assisted surgery was introduced as a new advance of minimally invasive surgery, could improve the disadvantages of conventional laparoscopic surgery. Aim of this study is to share early experiences in using robots in pancreatic and hepatobiliary surgery, as well as to update on the current status of robot - assisted surgery. Material and Methods: A descriptive case series study: (18) eighteen cases of pancreatic and hepatobiliary diseases were performed at Binh Dan hospital from 01/2017 to 09/2018 using the da Vinci robotic system. Results: In 18 patients: 6 hepatectomies, 2 spleen-preserving distal pancreatectomies, 5 pancreatoduodenectomies, 1 cholecystectomy, and 4 choledochal cystic resections. 17 were performed successful by robot - assisted surgery, 1 case of choledochal cystic resection converted to open surgery. There was no intraoperative complication related to the use of the da Vinci robotic system. No serious complications. No death was in this series. Conclusion: Using of robot - assisted surgery in pancreatic and hepatobiliary diseases is safe and feasible. Keyword: Robot – assisted surgery, da Vinci Surgical System, hepatectomy, distal pancreatectomy, pancreatoduodenectomy, cholecystectomy, choledochal cystic resection.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    Uniform Title: Kết quả bước đầu phẫu thuật nội soi Robot trong bệnh lý gan mật tụy
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2018.(8)
    DOI: 10.51199/vjsel.2018.3
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2018.3.4
    Language: Vietnamese
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2018
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  • 7
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    Online Resource
    Preliminary results of robotic pancreaticoduodenectomy at hepatobiliary-pancreatic surgery department – Cho Ray Hospital
    Vietnam Association for Surgery and Endolaparosurgery ; 2019
    In:  Vietnam Journal of Endolaparoscopic Surgery Vol. 9, No. 2 ( 2019-6-13)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgery, Vietnam Association for Surgery and Endolaparosurgery, Vol. 9, No. 2 ( 2019-6-13)
    Abstract: Tóm tắt Đặt vấn đề: Cắt khối tá tụy là một trong những phẫu thuật ổ bụng khó nhất. Việc áp dụng phương pháp xâm lấn tối thiểu cho phẫu thuật này gặp nhiều khó khăn với dụng cụ nội soi cổ điển. Phẫu thuật nội soi với robot hỗ trợ giúp phẫu thuật trở nên dễ dàng hơn. Mục tiêu: Đánh giá kết quả sớm phẫu thuật robot cắt khối tá tụy Phương pháp nghiên cứu: Mô tả tiền cứu các trường hợp cắt khối tá tụy bằng robot tại khoa Ngoại gan mật tụy bệnh viện Chợ Rẫy Kết quả: Trong thời gian tháng 12/2017 đến tháng 3/2019, chúng tôi đã thực hiện 28 trường hợp cắt khối tá tụy bằng robot. Chẩn đoán trước mổ đa số là u bóng Vater (77%), u đoạn cuối ống mật chủ và u đầu tụy lần lượt chiếm 9% và 14%. Thời gian phẫu thuật trung bình là 522,5 phút. Chuyển mổ mở 2 trường hợp (7,1%). Điểm đau trung bình các ngày hậu phẫu theo VAS là 4. Có 6 trường hợp biến chứng nhẹ (Clavien-Dindo độ 1-2, 21,4%), 4 trường hợp biến chứng nặng (Clavien-Dindo độ 3-4, 14,3%), mổ lại 2 trường hợp (7,1%). Không có tử vong. Thời gian hậu phẫu trung bình là 16,4 ngày. Kết luận: Kết quả của nghiên cứu tương đồng với kết quả của các tác giả trên thế giới. Phẫu thuật robot cắt khối tá tụy được chứng minh là an toàn và khả thi. Abstract Introduction: Pancreaticoduodenectomy is one of most challenge of abdominal procedures. Application of minimal invasive surgery in this procedure encounters many difficulties with classic laparoscopic instruments. Robot- assisted surgery system refers minimal invasive surgery in pancreaticoduodenectomy easier. Material and Methods: Assess the preliminary results of robotic pancreaticoduodenectomy Results: From December 2017 to March 2019, we performed 28 cases of robotic pancreaticoduodenectomy. Preoperative diagnosis includes authors Vater tumors (77%), distal bile duct tumors (9%) and pancreatic head tumor (14%). Mean operative time was 522,5 minutes. Conversion rate was 7,1% (n=2). Average mean postoperative VAS score was 4. There was 6 cases of mild complications (Clavien-Dindo grade 1-2, 21,4%), 4 cases of severe complications (Clavien-Dindo grade 3-4, 14,3%), Reoperation in 2 cases (7,1%). No case of death was observed. Mean postoperative hospital stay were 16,4 days. Conclusion: Our results are similar to other authors in worldwide so we suggested that robotic pancreaticoduodenectomy was proved to be safe and feasible. Keywords: Laparoscopic D.P.C, Robotic surgery
    Type of Medium: Online Resource
    ISSN: 1859-4506
    Uniform Title: Kết quả sớm phẫu thuật cắt khối tá tụy bằng robot tại khoa ngoại gan mật tụy Bệnh viện Chợ Rẫy
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2019.(9)
    DOI: 10.51199/vjsel.2019.2
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2019.2.7
    Language: Vietnamese
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2019
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  • 8
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    Initial outcomes of robotic assisted laparoscopic upper urinary tract reconstruction – report of the first 7 cases
    Vietnam Association for Surgery and Endolaparosurgery ; 2018
    In:  Vietnam Journal of Endolaparoscopic Surgery Vol. 8, No. 2 ( 2018-4-20)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgery, Vietnam Association for Surgery and Endolaparosurgery, Vol. 8, No. 2 ( 2018-4-20)
    Abstract: Tóm tắt Đặt vấn đề: Đánh giá kết quả ban đầu phẫu thuật nội soi ổ bụng với Rô bốt hỗ trợ tạo hình đường tiết niệu trên tại Bệnh viện Bình Dân.Phương pháp nghiên cứu: Số liệu thu thập từ 07 trường hợp (TH) được phẫu thuật nội soi ổ bụng với Rô bốt hỗ trợ tạo hình đường niệu trên, gồm các trường hợp tạo hình khúc nối bể thận – niệu quản có hoặc không lấy sỏi bể thận, phẫu thuật cắt nối niệu quản tận- tận và cắm lại niệu quản vào bàng quang. Các TH này được tiến hành tại Bệnh viện Bình Dân, từ 11/ 2016 đến 3/2017. Kết quả chính bao gồm khả năng cải thiện triệu chứng lâm sàng cũng như trên hình ảnh học và ghi nhận tỷ lệ tai biến - biến chứng xảy ra. Kết quả: Tất cả 07 TH đều phẫu thuật thành công, dù thời gian mổ tương đối dài, trung bình là 222,8 phút (150 – 330 phút), không có trường hợp nào xảy ra tai biến - biến chứng. Sau rút thông JJ niệu quản 01 tháng, chưa ghi nhận trường hợp nào bị tái phát. Kết luận: Qua 07 TH đầu tiên được phẫu thuật nội soi ổ bụng tạo hình đường tiết niệu trên với hỗ trợ Rô bốt cho thấy tuy thời gian mổ khá dài nhưng khả thi và an toàn, có thể thay thế mổ mở trong một số trường hợp phức tạp. Tuy nhiên, cần thực hiện với số lượng lớn hơn và theo dõi thêm để có thể đánh giá kết quả lâu dài của phương pháp này trong điều kiện thực tế hiện nay. Abstract Introduction: To evaluate the initial outcomes of robotic assisted laparoscopic (RAL) upper urinary tract (UUT) reconstruction at Binh Dan hospital. Material and Methods: 07 patients underwent RAL UUT reconstruction including pyeloplasty with or without stone extraction, uretero-ureterostomy and ureteric reconstruction at Binh Dan hospital from November 2016 to March 2017. Primary outcomes were symptomatic and radiographic improvement of obstruction and complication rate. Results: All 07 cases of RAL UUT reconstruction had good clinical and radiographic improvement without any significant complication (over grade I of Clavien Dindo classification). The mean operation time was 222,8 minutes (150 – 330 minutes). Conclusion: Robotic-assisted laparoscopic UUT could be performed safely with good short-term results and be considered a reasonable alternative to the open procedure for robotic experienced surgeons in some complicated cases. Keyword: Upper urinary tract reconstruction, robotic assisted laparoscopy.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    Uniform Title: Kết quả bước đầu qua 07 trường hợp phẫu thuật nội soi bụng với sự hỗ trợ của Rô bốt tạo hình đường tiết niệu tr Bệnh viện Bình Dân
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2018.(8)
    DOI: 10.51199/vjsel.2018.2
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2018.2.7
    Language: Vietnamese
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2018
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  • 9
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    Results of robot-assisted laparoscopic partial nephrectomy for renal cell carcinoma at Cho Ray Hospital
    Vietnam Association for Surgery and Endolaparosurgery ; 2021
    In:  Vietnam Journal of Endolaparoscopic Surgey Vol. 11, No. 4 ( 2021-11-3)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgey, Vietnam Association for Surgery and Endolaparosurgery, Vol. 11, No. 4 ( 2021-11-3)
    Abstract: Tóm tắt Đặt vấn đề: Đánh giá kết quả áp dụng phẫu thuật nội soi (PTNS) cắt một phần thận có hỗ trợ của robot trong điều trị bướu thận. Đối tượng và phương pháp nghiên cứu: Tất cả các trường hợp PTNS cắt một phần thận có hỗ trợ của robot tại khoa Ngoại Tiết niệu, Bệnh viện Chợ Rẫy. Thiết kế nghiên cứu là nghiên cứu tiến cứu mô tả hàng loạt trường hợp. Biến số nghiên cứu gồm: tuổi, chỉ số khối cơ thể (BMI), bên thận tổn thương, giai đoạn bướu, kích thước bướu, thời gian phẫu thuật, lượng máu mất, biến chứng trong phẫu thuật. Kết quả nghiên cứu: Mẫu nghiên cứu có 41 trường hợp (TH) bướu thận được PTNS cắt một phần thận có hỗ trợ của robot từ tháng 10/2017 đến tháng 01/2021 tại Bệnh viện Chợ Rẫy. Tỉ lệ nam:nữ là 2.15:1, tuổi trung bình là 53. Tất cả các TH đều là bướu giai đoạn sớm, chưa di căn hạch và di căn xa. Thời gian phẫu thuật trung bình là 265 phút. Lượng máu mất trung bình là 78 ml. Thời gian hậu phẫu trung bình 5 ngày. Ghi nhận 1 trường hợp phải truyền máu trong mổ và 1 trường hợp có biến chứng chảy máu sau phẫu thuật đòi hỏi phải can thiệp nội mạch. Kết luận: Qua các trường hợp phẫu thuật nội soi cắt một phần thận có sự hỗ trợ của robot đã cho thấy tính khả thi và những ưu điểm của phương pháp điều trị ít xâm hại trong điều trị bướu thận. Từ khóa: Bướu thận, ung thư tế bào thận, phẫu thuật cắt bướu bảo tồn thận, phẫu thuật nội soi có hỗ trợ của robot. Abstract Introduction: To evaluate the initial results of robot-assisted partial nephrectomy in treatment of kidney tumor. Patients and methods: Data were collected prospectively on 41 cases of robot-assisted laparoscopic partial nephrectomy from October 2017 to January 2021 at Urology Department, Cho Ray hospital. Patient demographics, radiology findings, surgery results, peri-operative complications, hospital stay, pathological results and follow-up results were recorded. Results: There was 41 cases, the ratio of male: female was 2.15:1, the mean age was 53. All of cases were local stage without metastasis. Early complications were low grade according to the Clavien classification, no mortality and no conversion to open, one case was needed intraoperative transfusion and one case had postoperative hemorrhage and was treated by seletive angioembolization. Mean operative time was 265 minutes. The mean estimated blood loss was 78 ml. Patients discharge from hospital after 5 days. Conclusion: Robot-assisted laparoscopic partial nephrectomy is feasible with the advantages of minimally invasive intervention. Key word: Renal tumor, partial nephrectomy, robot-assisted laparoscopic surgery.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    Uniform Title: Kết quả phẫu thuật nội soi có hỗ trợ robot trong cắt một phần thận trong điều trị bướu thận tại Bệnh viện Chợ Rẫy
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2021.(11)
    DOI: 10.51199/vjsel.2021.4
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2021.4.13
    Language: Vietnamese
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2021
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  • 10
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    Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer
    Vietnam Association for Surgery and Endolaparosurgery ; 2022
    In:  Vietnam Journal of Endolaparoscopic Surgey Vol. 12, No. 3 ( 2022-8-15)
    Details
    In: Vietnam Journal of Endolaparoscopic Surgey, Vietnam Association for Surgery and Endolaparosurgery, Vol. 12, No. 3 ( 2022-8-15)
    Abstract: Abstract Introduction: 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. Patients 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. Results: 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). Conclusions: 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. Keywords: Prophylactic mesh placement, Sugarbaker technique, Laparoscopic abdominoperineal resection.
    Type of Medium: Online Resource
    ISSN: 1859-4506
    URL: Issue
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.51199/vjsel.2022.(12)
    DOI: 10.51199/vjsel.2022.3
    DOI: 10.51199/vjsel.2018.1.01
    DOI: 10.51199/vjsel.2022.3.13
    Language: English
    Publisher: Vietnam Association for Surgery and Endolaparosurgery
    Publication Date: 2022
    Location Call Number Limitation Availability
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