Xây dựng nhà nhân ái cho hộ nghèo xã Trung Khánh Vĩnh

AbstractIntroduction: Percutaneous transhepatic gallbladder drainage (PTGBD) is a safe, effective initial treatment for acute cholecystitis in high-risk patients. Laparoscopic cholecystectomy (LC) is the definitive treatment. This study evaluates the feasibility and optimal timing of LC post-PTGBD at Le Van Thinh Hospital, as outcomes may be similar regardless of surgical timing. Patients and Methods: A prospective descriptive case series was conducted from January 2022 to June 2024 at the General Surgery Department of Le Van Thinh Hospital. Patients diagnosed with grade II, III acute calculous cholecystitis who underwent PTGBD followed by LC were included. Patients were categorized into two groups based...

Tóm tắt Đặt vấn đề: người bệnh u quanh bóng Vater có tăng bilirubin máu trên 15 mg/dl, không kèm rối loạn các cơ quan cần nâng đỡ hỗ trợ, có thể được phẫu thuật cắt khối tá tuỵ mà không cần dẫn lưu đường mật trước phẫu thuật. Đối tượng và phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả hàng loạt ca. Tất cả người bệnh có u quanh bóng Vater, bilirubin máu trên 15 mg/dl, được điều trị phẫu thuật cắt khối tá tuỵ tại bệnh viện Chợ Rẫy từ tháng 02/2023 đến tháng 10/2024. Kết...

Abstract Introduction: Despite the increasing incidence of early-onset colorectal cancer (EOCRC) worldwide, data from Vietnam remain limited, especially concerning long-term treatment outcomes. This study aimed to evaluate the clinical characteristics, long-term outcomes, and prognostic factors in patients with EOCRC. Patients and Methods: This retrospective study included patients diagnosed with colorectal cancer (CRC) before the age of 50. Clinical and paraclinical data were collected, and patients were followed up to evaluate long-term treatment outcomes. The primary endpoints were overall survival and the identification of prognostic factors. Results: EOCRC cases were evenly distributed between genders and were predominantly localized on the left...

Abstract Introduction: Laparoscopic-assisted pancreaticoduodenectomy is a complex surgical procedure associated with a high rate of complications, particularly those arising from anastomotic leakage. The combination of laparoscopic dissection and resection with a mini-laparotomy for specimen retrieval and anastomosis construction is thought to potentially reduce perioperative morbidity. Patients and Methods: A cross-sectional descriptive case series was conducted involving 18 patients who underwent laparoscopically-assisted pancreaticoduodenectomy at the Department of Gastrointestinal Surgery, Viet Duc University Hospital, during the period from 2023 to 2025. Results: A total of 18 patients underwent laparoscopic-assisted pancreaticoduodenectomy. Among these, 55.6% were diagnosed with ampullary adenocarcinoma, 22.2% with solid pseudopapillary...

Abstract Introduction: The extended-view totally extraperitoneal (eTEP) approach has emerged as an innovative technique for incisional ventral hernia repair, offering several advantages such as reduced postoperative pain, fewer skin-related complications, and improved cosmetic outcomes. This study aims to evaluate the early outcomes of the eTEP technique for incisional ventral hernia repair at Can Tho General Hospital. Patients and Methods: A retrospective study was conducted on 30 patients who underwent laparoscopic eTEP repair for incisional ventral hernias between June 2022 and February 2025. Patient demographics, hernia characteristics, surgical details, intraoperative and postoperative complications, postoperative pain scores (measured using the Visual Analog...

Abstract Introduction: This study aims to evaluate the accuracy and the reliability of Boey’s score in predicting post-operative complications and mortality rates in patients with perforated peptic ulcers treated at district- and central-level hospitals. Patients and Methods: The retrospective case series study was conducted at two hospitals: Le Van Thinh Hospital, a district-level facility, and Cho Ray Hospital, a central-level institution. Data were collected from 114 patients at Le Van Thinh Hospital between January 2020 and December 2023, and from 255 patients at Cho Ray Hospital between January 2021 and December 2022. The study included patients diagnosed with Perforated Peptic...

Abstract Introduction: The anatomical variations of the hepatic artery are a critical consideration in liver transplantation, impacting both surgical planning and postoperative outcomes. This study aimed to identify and classify hepatic artery variations in liver grafts procured from brain-dead donors at Viet Duc Hospital and to evaluate their implications for transplantation. Patients and Methods: Data were collected retrospectively from 2011 to 2016 and prospectively from 2017 to 2020, covering 53 liver grafts obtained from brain-dead donors. Results: Anatomical variants were categorized according to Hiatt’s classification and additional atypical patterns, with Type 1 (67.9%) being the most common, followed by Type...

Abstract Introduction: Endoscopic techniques have become the standard approach for pituitary adenoma surgery, providing improved visualization of the hypophyseal fossa and facilitating precise tumor resection while minimizing surgical morbidity. The one-nostril endoscopic approach further enhances minimally invasive surgery by reducing nasal mucosal trauma and optimizing access to the tumor, thereby improving surgical precision and reducing the risk of postoperative complications Patients and Methods: Between September 2024 and February 2025, a retrospective analysis was conducted on 12 consecutive patients who underwent one-nostril endoscopic transsphenoidal surgery at Viet Duc University Hospital and Hanoi Medical University. Furthermore, we provide a step-by-step description of...