A retrospective study was conducted on 118 patients (45 males and 73 females, mean age of 56.6) had their laparoscopic holecystectomy removed at the General Viet Tiep Hospital from Jan 2002-Dec 2004. The results as followed: cholelithiasis accounted for 96.6%, in which 76.3% were single cholelithiasis with symptoms; acute stone cholecystitis 17.8% and atrophic cholecystitis 2.5%. The rate of general complication in surgery was 20.3%, except for three open surgery cases; most of cases with complications was treated during surgery. The average time of surgery was 46.8 minutes, the average hospitalization time after surgery was 4.8 days. The rate of complication was 5.2% and there is no deaths. The laparoscopic cholecystectomy has more advantages than classical open cholecystectomy: safety, short of surgery time, quick recovery, less complications, and good aestheticism. Because of these advantages, the surgery can replace for the classical surgery, it is an ideal method in treating cholelithiasis, grall-bladder polyp, acute or chronic cholelithiasis.
Cholecystectomy, Laparoscopic ; Surgery ; Cholelithiasis

The laparoscopic surgery including laparoscopic diagnosis, laparoscopic surgery, abdominal laparoscopy and cervical laparoscopy. The Institute implemented 6058 operations comprising gynecological and obstetrical surgery in which there were 1003 patients receiving the laparoscopic surgery (16,56%) in 2000. The rate of the laparoscopic surgery / gynecological surgery was 1003/2791 = 35,94%. The common indication of endoscopy were infertility (41,48%), ectopic pregnancy (29,21%) cystic ovary (11,37%). 20 patients with the ectopic pregnancy changed from laparoscopic surgery to the traditional surgery. 2 cases in the abdominal endoscopy suffered complication. There was no complication in 82 cases of the cervical endoscopy. That indicated that the endoscopy is the safe surgery with the low complication
Cholecystectomy, Laparoscopic ; Laparoscopy ; surgery

Introduction-Methods: Laparoscopic Surgery is now widely developed throughout the world. The same thing does happen at Vietnam from 1992. This study aim to collect all data of Vietnamese Laparoscopic Surgery from 1992 up to now (1999) - by reports from 60 Institutes and hospitals throughout Vietnam as well as many published reports of Vietnamese doctors. By this, suggest the direction of laparoscopic surgery development in near future. Result: By the reports of 60 Institutes - Hospitals: 12 of central level- directly lead by the Ministry of health and 48 other ones (mainly provincial hospitals) Twenty six of them (43,3%) perform already laparoscopic surgery (LS). So 3/4 (75%) hospital lead by the Ministry of Health, and almost one third (35,5%) of other hospital has installed L.S. The total number of surgery is 22.351 cases of abdominal surgery, obstetric- gynecology, cardiovascular thoracic surgery, ENT with good results. Actual difficulties: financial support, material and equipment. Direction: development of LS to big provincial hospitals especially University Centers as well as performing of difficult operations of high quality and minimally invasive technique. Attention must be paid for the patient‘s safety, firstly for indication and surgical procedure. Conclusion: L.S is fairly developed in Viet nam (quantity and quality). It is needed further development. Particular attention must be paid for patient‘s safety (indication, surgical procedure). Local made equipment materials are preferable to reduce the medical fees
Laparoscopy ; Cholecystectomy, Laparoscopic ; surgery

The authors introduced about the application of laparoscopy in obstetrics and gynecology simultaneously, the authors also sum up to value the first results of laparoscopic surgery at Clinic B10, Hospital 103. During 2 years 1999-2000, the total of 28 surgeries performed by laparoscopy including ovary cyst, entopic pregnancy, Fallopian tubal infertility... showed many advantages
Laparoscopy ; Cholecystectomy, Laparoscopic ; surgery

BACKGROUND AND OBJECTIVE

Robotic surgery for rectal malignancies in the Philippines is emerging. Evidence has shown promising results for robot-assisted (R) rectal surgery when compared to the laparoscopic (L) and open (O) approach. This study discussed the clinicopathologic outcomes of the first robotic rectal resections versus laparoscopic and open rectal resections at the Philippine General Hospital (PGH).

This was a retrospective cohort of 45 consecutive surgical resections for rectal malignancy done at the PGH from March 2019 to October 2019 that compared the outcomes of the first 15 robotic procedures done at the institution versus laparoscopic (n=15) and open (n=15) operations performed during the same time period. One-way ANOVA was done to determine significant differences among variables, while Bonferonni multiple comparison test was done to analyze differences among means.

The 45 patients in the study had a mean age of 56.04 ± 13.45 years. The patients were mostly male (60%). Most of the tumors were located in the low rectum (27/45; 60%). Most of the patients had locally-advanced (at least Stage IIIB) disease (27/45; 60%), and warranted neoadjuvant treatment (41/45; 91.11%). Most patients underwent a sphincter-saving procedure (34/45; 75.56%). All three groups had comparable baseline characteristics. The R-group had the longest operative time (438.07 ± 124.57; p value < 0.0001). Blood loss was significantly highest in the R-group (399 ± 133.07 cc; p value - 0.0020) as well, while no statistical difference was observed between the Oand L-groups (p value – 0.75). No conversion to open was noted in the R- and L-groups. Most of the patients had well-differentiated adenocarcinoma (22/45; 48.49%). All patients in the L- and O-groups had an R0 resection There were two R1 resections in the R-group. All patients who underwent an open surgery had a negative circumferential resection margin (CRM); L-group 93.99%, R-group 69.23%. All patients had adequate proximal and distal resection margins. Those who underwent an open surgery had the shortest post-operative length of stay (LOS) (p value – 0.0002). Post-operative ileus (7/45; 15.56%) was the most commonly encountered morbidity, and was seen mostly in the R-group (3/15; 20%). One patient in the R-group underwent a transanal repair of an anastomotic dehiscence and was discharged three days after reoperation. There was no reported mortality.

Our institution with a beginning robotic colorectal surgery program showed promise as its initial outcomes for rectal cancer were compared to the more often-performed open and laparoscopic procedures. The authors expect more favorable clinicopathological outcomes as our staff overcome the prescribed learning curve for robotic surgery.

Background: Is Laryngeal Mask Airway (LMA) Proseal superior over Endo Tracheal Tube (ETT) in anesthesia for laparoscopic surgery? Objective: (1) To evaluate the effect of LMA Proseal on blood pressure, heart rate and respiration in laparoscopic surgery. (2) To evaluate the surgical condition and side effects of LMA Proseal. Subject and Method: A single blind control study was done for 60 patients at Viet Duc Hospital. Patients were divided into 2 groups: LMA Proseal group (30 patients) and control group (30 patients). Blood pressure, heart rate, SpO2, PetCO2, Pmax and Vh were monitored after laparoscopic surgery. Results: Compared with ETT, LMA Proseal attenuates the increase in blood pressure and heart rate; SpO2, PetCO2, Pmax and Vh are stable within safe limits like ETT. Conclusions: LMA Proseal provides stability for blood pressure, heart rate and respiration while facilitating surgical conditions and reducing postoperative side effects.
LMA \u2013 Proseal ; Laparoscopic surgery

From May 1995 to August 2004, laparoscopic cholecystectomy for 33 kinds of endoscopic operation according to 7 different specialities: bile-liver, digestive tract, abdomen, urine, thorax, joints with total number 7.462 were done. The duration of implementation of each operations were different. The mortality of laparoscopic cholecystectomies was 0.03%, postoperation events was 0.23%, complications was 0.23%. The duration of post-operative hospitalization was 3 days. Endoscopic surgery is safe and minimally invasive in comparison with open surgery. With advantages of endoscopic surgery, the surgeons can reach the lesions in the deep locations
surgery ; Endoscopy ; Safety ; Cholecystectomy, Laparoscopic ; epidemiology

OBJECTIVETo explore the feasibility of single-incision laparoscopic cholecystectomy using a three-dimensional (3D) laparoscopic system.

METHODSTwo patients with benign gallbladder disease with a history of recurrent abdominal pain were selected to undergo the surgery. Gallstones were diagnosed by B ultrasound examination. All the operations were performed through the umbilical incision with the 3D laparoscopic system.

RESULTSThe 2 operations were completed successfully with a operative time of 35 min and 50 min. Both of the patients were ambulatory 8 h after the surgery, began to have a normal diet 1 day after operation, and were discharged 2 days postoperatively without any clinical symptoms.

CONCLUSIONS3D single-incision laparoscopic operation can well reveal the tissue anatomy in the operative field especially for some important structures such as the Calot's triangle with an improved safety compared to conventional laparoscopic operations.

No abstract available.
*Cholangiography ; *Cholecystectomy, Laparoscopic ; Choledocholithiasis/*surgery ; *Endoscopy, Gastrointestinal ; Female ; Humans ; Male

Adult ; Cholecystectomy, Laparoscopic ; Cholecystitis ; surgery ; Female ; Humans ; Lactation ; physiology