A retrospective study on 14 patients with diagnosis and treatment of peritonitis in Viet Duc hospital from January /2000 to December/2004. Results: Most of them have unpredictable reason of intestinal perforation. There are three groups of reason after operation: break of small intestinal cancer (leiomyosarcoma, maglinant lymphoma), tuberculosis and inflammation without specific cause. Most cases were treated appropriately with peritonitis: stitches the holes, cut the intestinal section in abdomen...however cultivate bacterium for antibiogram and it doesn’t carry out systematic, the diseases after operation due to tuberculosis haven’t treated as the standard outline. The fatality rate: 2/14 is acceptable due to both 2 patients with small intestinal cancer in weakened situation.
Peritonitis ; Intestinal Perforation ; Diagnosis ; Therapeutics

A case of a woman aged 42 years old with abdomen pain under the navel and bilateral pelvis tumors indentified by CT scanner as post-peritoneal tumors and AFP level increased was treated at Viet Duc hospital with the diagnosis of embryonary carcinoma based on a mature malignant teratoma. Some aspects of the diagnosis and treatment of post-peritoneal teratoma with embryonary carcinoma were received. Authors concluded that up to now in adults for post peritoneal tumor under the group of germ cell tumors, the treatment of choice is a surgery of through removal of the tumor, then the formula of BEP, PEL or VAC chemiotherapy will be carried.
Carcinoma, Embryonal ; Teratoma ; Diagnosis ; Therapeutics

In a 24 -year -old woman, a tumor was detected unexpectedly under the left flank of the body in an examination. Ultrasound found the tumor on the retro-peritoneum, UIV showed the less absorption of medicament in the right side of the kidney, which was pushed up and the normal function of left side of the kidney. In operation, a retro-peritoneal tumor was exposed at the right side with a bulk of surrounded large vessels. Pathologic anatomy showed that it was a malign hemangiopericytoma. One year after the operation, patient survived normally.
Hemangiopericytoma ; Therapeutics ; Diagnosis ; Peritoneum ; Case report

The sample with the number 410 was took from forensic medicine of examination at 6/4/2004. Case report: a rare amatomic change of liver arteries, among which 2 supplying blood for right part of liver, 2 other for left, 2 for bile sac-vascularization for the liver made from main liver artery and from a branch of diathesis artery. In the operation of endoscopic biliary cysticotomia, 2 arteries can be displayed, hemostatic manipulation can damage the right duct of the liver or the main liver duct, in case of removal liver samples, 2 arterial anastomosis must be made.
Hepatic Artery ; Liver ; Anatomy

Sevens cases of pancrea duodenal emergency cutting showed: the combining of the injuries of pancreas and duodenum in a clinical image of multiplex injuries. In these conditions, blood Amylaza level, urine or abdomen fluid and the CT scanning gave diagnostic values in pancrea damage and the combining damage of compact diathesis. Pancrea duodenal cutting must be indicated when the vascularization into duodenum and pacrea head could not be controlled; blood injury and loss of pulse or irreversible injury in the area of Vater ampulla; IV grade of pancrea duodenal injury as well as in the favorable conditions of anesthesia resuscitation with qualified surgeons.
Surgery ; Emergencies ; Pancreas ; Duodenum

Through 10 cases of calculus of the pancreas chronical pancreatitis calcified in head, trunk and tail of the pancreas, associated with the dilatation of the main duct of pancreas (6/10 patients were alcoholism, 10/10 had got abdomen pain treated internally, 10/10 ahd weight loss, 3/10 with the syndrom of bile obstruction, 2/10 with diabetes) operated by a combing surgery of Frey and Beger method, without death. Premiminary results showed that the pain was reduced, chronical pancreatitis was controlled and the complications for neighbourhood organs caused by this condition, such as bile obstruction, main bile duct obstruction..) were prevented. The excretion and endocrinological functions of the pancreas were preserved, living quality was obviously improved.
Surgery ; Therapeutics ; Pancreatitis, Chronic ; Lithiasis ; Pancreas

Viet Duc Hospital in 2002. The patient was performed emergency pancreatoduodenectomy, pancreatic drainage through stomach, drainage of choledochous duct for stage 2 of surgery, and he was rescued from death. Pancreatoduodenal trauma caused peritonitis is severe injury, especially after first surgery failed. It's very important to resuscitate, compensate fluid and electrolytes, energy, prevent loss of gastrointestinal fluid, use antibiotics, and supply general and local care after operation
Wounds and Injuries ; Peritonitis ; Pancreaticoduodenectomy

Liver entire transplant on experience pig from a healthy transplant piece of healthy pig that was choice on 15 transplant pigs. Description: cutting entire liver, time cut shortest is 15 min and longest is 62 min. First step is delivery gradually liver, then cutting entire liver including cut watershed 2, 3… Step transplant included 5 tenses: doing shunt of vena cava, doing shunt between portal vein and received vein, doing shunt of liver artery, drainage of gall, check and close abdomen. This technique is cutting entire liver each watershed, dissect clearly each component of peduncle, leave watershed 2 and cut it quickly, avoid bleeding simultanously, no doing shunt cava-portal while losed liver. Cause of dealth is due to bleeding, narrow shunt, torsion shunt. All these errors were dominated effectly
Liver ; Liver Transplantation ; transplantation

Study on 4 cases of malignant tumor of Vater’s ampulla operated at Viet-Duc Hospital and 1 case treated at University of Medicine and Pharmacy at Ho Chi Minh City between August 2003 and December 2004. Results: clinical sign is biliary obstruction jaundice. Gastroduodenoscopy with flexible tube found that papilla of Vater with the diameter lower than 3cm (histological finding: carcinomas), without metastasis to adjacent duodenum. Tumor invasion into head of pancreas and the lower of choledochous duct was determined by pancreatic and liver ultrasound, CT scanner or MRI examinations, in combination with intraoperative balance, immediate biopsy of lymph nodes in group 14 and group 8, sections of bile duct, pancreatic duct and duodenum in order to ensure the elimination of surgery. Initial outcomes showed that there wasn’t post-operative complication or death.
Ampulla of Vater ; Duodenum ; Therapeutics ; Surgery

In 1999-2003 year period, at Viet Duc hospital, 120 cases of anus absceses including side anus abscesses, anus fistulae and anus split fistulae were studied. Results showed an increasing number of surgical cases of the conditions, their majority was male subjects in effective age with typical symptoms of pain at the anus, fever, hot and red swelling mass in the side, commonly in posterior side operation of an unique time give good results, among them, the drainage incision accounted simply for majority
Diagnosis ; Therapeutics ; Abscess