212 patients suffering from colorectal cancer are analyzed, the author have following remarks: 1. Colorectal cancer generally occurs in individuals 40 years of age or older. Ration of men to women: 1.82. 2. Incidence of malignant lesion: rectum 36.32%, sigmoid: 16.04% righ colon: 15.57%, left colon: 14.15%, tranverse colon: 8.02%, cecum: 9.09%. 3. Treatment: right hemicolectomy 20.75%, left hemicolectomy: 7.55%, colectomy: 14.62%, subtotal colectomy: 2.83%, miles: 14.15%, artificial anus: 30.19%, by-pass: 3.77%, exploration: 1.42%. The early results of post operative: post operative complications were: 8.9%; post operatative: post operative mortality was:1.98%.
Colorectal Neoplasms ; Gastrointestinal Tract

In a consecutive series of 860 patients undergoing surgery for gallstones, 214 patients (24.9%) were aged over 65 years, of whom 93 (43.5%) were males and 121 (56.5%) were female. Choledochotomy and removes stones with T tube drainge: 54 (25%), choledochotomy and removed stones with cholecystectomy: 34 (15.9%), open cholecystectomy: 40 (18.7%), laparoscopic cholecystomy; 42 (19.6%), cholecystostomy: 12 (5.6%), open biliary surgery with other surgery: 32 (15%). Laparoscopic cholecystectomy offers advantages over the open technique by reducing wound infections as well as the other complications; a shorter hospital stay, a rapid return to full activities.
Gallstones ; Surgery ; aged

On 97 cases treated in the Military Hospital No108, the remarks are as follows: 1) Rectal cancers occurred mainly in the age ranged 40-60 years old, men to women ratio is 1.85. 2) Clinic symptoms include constipation, diarrhoea with blood and pus occurred alternatively, tenesmus… 3) Most of tumors located at the lower rectal ampulla; adenoepithelioma accounted for 93.2%. 4) Rectal resection with sphincter conservation performed on 4.1%; Mile's operation on 59.8%; and palliative operation on 38.1% of cases; bleeding complication happened on 4.1% of cases and the most common post operative complication was perineum infection 26.8%. 5) Mortality 6.2%. 6) More than 5 years survival 52.3%
Rectal Neoplasms ; Case Reports [Publication Type]

From the review of 620 cases with acute appendicitis, the author has shown that: 1. Abdominal pain is present in all patients with appenditis, the initial position of pain is difference: in the epigastrium (17.42%) or around the umbilicus (30.16%); the right lower quadrant (41.45%); the pain becomes steady: 77.58%. The pain in the right lower quadrant when palpation pressure is exreted: 80%, the rebound tenderness: 52.42%. The pain in the position of the appendix is the most important symptom for operation. 2. There was a 3.8% rate of negative appendectomies. The rate of late diagnosis is 16.55%. 3. Laparoscopic appendectomy offers advantages over the open technique by reducing wound infections as well as the other complications and a possible earlier return to normal activities. A laparoscopic procedure also allows complete evaluation of the abdominal cavity without an extension of the incision.
Appendicitis ; Laparoscopy

In study series of author, the incidence of acute appendicitis in older patients is 8.57%. The classic symptoms such as pain, anorexia and nausea presented in older patients but are less pronounced than in younger adults. Pain in the right lower quadrant: 80.95%, localization occurs later than in younger patients. 42 (85%) patients have comorbidity. In older patients with appendicitis, the diagnosis is often delayed with 66.66% of cases have been perforated. The mortality rate is 3.57%. Rate of complications is 50%. The most common complication is infection, occurred in 38.09% of patients.
Appendicitis ; Frail Elderly ; aged

From August 1996 to April 2002, 453 cacses of laparoscopic cholecystectomy were performed in Hospital 108. Their 8 patients suffered from bile duct injury (1.8%). 50% had transection, 25% had incisions, 25% had cystic duct leak. For treating, simple suturing with Kehr draining tube 37.5%, draining tube interested in abdomen cavity 50%, Roux en Y choledochojejunostomy 12.7%. Post operative result was good in 75% of cases and in 24% there was a leak in anastomosis site
Bile Ducts ; Cholecystectomy ; Laparoscopy

Background: s/Aims: Parenchymal-sparing anatomical hepatectomy (Ps–AH) based on portal ramification of the right anterior section (RAS) is a new technique to avoid unnecessarily transecting too much liver parenchyma, especially in cases of major anatomical hepatectomy. Methods: We prospectively assessed 26 patients with primary hepatic malignancies having undergone major Ps–AH based on portal ramification of the RAS from August 2018 to August 2022 (48 months). The perioperative indications, clinical data, intra-operative index, pathological postoperative specimens, postoperative complications, and follow-up results were retrospectively evaluated. Results: Among the 26 patients analyzed, there was just one case that had intrahepatic cholangiocarcinoma The preoperative level of α– Fetoprotein was 25.2 ng/mL. All cases (100%) had Child–Pugh A liver function preoperatively. The ventral/dorsal RAS was preserved in 19 and 7 patients, respectively. The mean surgical margin was 6.2 mm. The mean surgical time was 228.5 minutes, while the mean blood loss was 255 mL. In pathology, 5 cases (19.2%) had microvascular invasion, and in the group of HCC patients, 92% of all cases had moderate or poor tumor differentiation. Six cases (23.1%) of postoperative complications were graded over III according to the Clavien–Dindo system, including in three patients resistant ascites or intra-abdominal abscess that required intervention. Conclusions Parenchymal-sparing anatomical hepatectomy based on portal ramification of the RAS to achieve R0-resection was safe and effective, with favorable short-term outcomes. This technique can be used widely in clinical practice.

Background: s/Aims: Parenchymal-sparing anatomical hepatectomy (Ps–AH) based on portal ramification of the right anterior section (RAS) is a new technique to avoid unnecessarily transecting too much liver parenchyma, especially in cases of major anatomical hepatectomy. Methods: We prospectively assessed 26 patients with primary hepatic malignancies having undergone major Ps–AH based on portal ramification of the RAS from August 2018 to August 2022 (48 months). The perioperative indications, clinical data, intra-operative index, pathological postoperative specimens, postoperative complications, and follow-up results were retrospectively evaluated. Results: Among the 26 patients analyzed, there was just one case that had intrahepatic cholangiocarcinoma The preoperative level of α– Fetoprotein was 25.2 ng/mL. All cases (100%) had Child–Pugh A liver function preoperatively. The ventral/dorsal RAS was preserved in 19 and 7 patients, respectively. The mean surgical margin was 6.2 mm. The mean surgical time was 228.5 minutes, while the mean blood loss was 255 mL. In pathology, 5 cases (19.2%) had microvascular invasion, and in the group of HCC patients, 92% of all cases had moderate or poor tumor differentiation. Six cases (23.1%) of postoperative complications were graded over III according to the Clavien–Dindo system, including in three patients resistant ascites or intra-abdominal abscess that required intervention. Conclusions Parenchymal-sparing anatomical hepatectomy based on portal ramification of the RAS to achieve R0-resection was safe and effective, with favorable short-term outcomes. This technique can be used widely in clinical practice.

Background: s/Aims: Parenchymal-sparing anatomical hepatectomy (Ps–AH) based on portal ramification of the right anterior section (RAS) is a new technique to avoid unnecessarily transecting too much liver parenchyma, especially in cases of major anatomical hepatectomy. Methods: We prospectively assessed 26 patients with primary hepatic malignancies having undergone major Ps–AH based on portal ramification of the RAS from August 2018 to August 2022 (48 months). The perioperative indications, clinical data, intra-operative index, pathological postoperative specimens, postoperative complications, and follow-up results were retrospectively evaluated. Results: Among the 26 patients analyzed, there was just one case that had intrahepatic cholangiocarcinoma The preoperative level of α– Fetoprotein was 25.2 ng/mL. All cases (100%) had Child–Pugh A liver function preoperatively. The ventral/dorsal RAS was preserved in 19 and 7 patients, respectively. The mean surgical margin was 6.2 mm. The mean surgical time was 228.5 minutes, while the mean blood loss was 255 mL. In pathology, 5 cases (19.2%) had microvascular invasion, and in the group of HCC patients, 92% of all cases had moderate or poor tumor differentiation. Six cases (23.1%) of postoperative complications were graded over III according to the Clavien–Dindo system, including in three patients resistant ascites or intra-abdominal abscess that required intervention. Conclusions Parenchymal-sparing anatomical hepatectomy based on portal ramification of the RAS to achieve R0-resection was safe and effective, with favorable short-term outcomes. This technique can be used widely in clinical practice.

Background: s/Aims: Parenchymal-sparing anatomical hepatectomy (Ps–AH) based on portal ramification of the right anterior section (RAS) is a new technique to avoid unnecessarily transecting too much liver parenchyma, especially in cases of major anatomical hepatectomy. Methods: We prospectively assessed 26 patients with primary hepatic malignancies having undergone major Ps–AH based on portal ramification of the RAS from August 2018 to August 2022 (48 months). The perioperative indications, clinical data, intra-operative index, pathological postoperative specimens, postoperative complications, and follow-up results were retrospectively evaluated. Results: Among the 26 patients analyzed, there was just one case that had intrahepatic cholangiocarcinoma The preoperative level of α– Fetoprotein was 25.2 ng/mL. All cases (100%) had Child–Pugh A liver function preoperatively. The ventral/dorsal RAS was preserved in 19 and 7 patients, respectively. The mean surgical margin was 6.2 mm. The mean surgical time was 228.5 minutes, while the mean blood loss was 255 mL. In pathology, 5 cases (19.2%) had microvascular invasion, and in the group of HCC patients, 92% of all cases had moderate or poor tumor differentiation. Six cases (23.1%) of postoperative complications were graded over III according to the Clavien–Dindo system, including in three patients resistant ascites or intra-abdominal abscess that required intervention. Conclusions Parenchymal-sparing anatomical hepatectomy based on portal ramification of the RAS to achieve R0-resection was safe and effective, with favorable short-term outcomes. This technique can be used widely in clinical practice.