Retrospective study 34,590 trauma patients at Emergency department in Viet Duc Hospital in 2004 with traffic accident: 20,184, occupational accident 2536 and other accident: 11,870 cases. Result: Patient needs emergency operation - (scheduled operations and minor operations were excluded): 6469 cases (12%), trauma: 4299 case (66%), pathology: 2170 cases (34%). Among 4299 cases with emergency operation, traffic accident is cause of 2586 cases (transfer back home: 870, death: 243; 60%); life accident: 1086 cases (transfer back home: 86, death: 30; 25 %), occupational accident: 627 (transfer back home: 75, death: 27;15%). Emergency operation rate due to pathology is 4 time less than traffic accident. Operation on gastro abdomen :1105 case (51%), liver 479 (22%,) and followed by disease of urinary, cardiology and chest, brain and less on disease on muscle, born thrititis: 3%.
Surgery ; Emergencies ; Epidemiology

A study on the 89 cases of selective hepatic angiography has shown that the most common anatomical changes occurred in the left hepatic artery originated from the left pyloric artery and the right hepatic artery from separated hepatic artery that originated from the celiac artery (12.4%). The left and right hepatic arteries originated together from the celiac artery (2.2%). It should implement the systematical hepatic angiography in the biliary bleeding to find the causes and it was necessary to implement the hepatic angiography before liver transplantation
Hepatic Artery ; Liver Transplantation

The author reported two cases of the variation of the hepatic arterial system through legal examination in ViÖt §øc hospital. Righ hepatic artery and left hepatic artery arise from the celiac trunk with splenic artery and left gastric artery. We emphasized that the right hepatic artery runs up, to right and behind the common bile duct and portal vein. Cystic artery is from anterior artery of the right hepatic artery. The authors also reviewed the variations of the hepatic arterial system in general and emphasized that the treat successfully the hepatic diseases should concern to the hepatic arterial system.
Hepatic Artery ; Celiac Disease

168 healthy livers from lead patients were studied. The results have shown that 4 basic anatomical forms of the right liver and 6 basic anatomical forms of left liver have been found. 36.9% of cases can be dissected the left hepatic vein. This finding can be applied for the liver transplantation and heapatectomy and plastic reconstruction of hepatic veins.
Hepatectomy ; Hepatic Veins ; Surgery, Plastic ; Liver Transplantation

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