From March 2000 to October 2001, 26 cancer patients of the cardiac region were registered to our study. Most patients were in advanced stage, apparently showed an impaired immunity both local and systemic. 20/21 (95%) cases of positive mutant P53 protein were detected at the tumor. Post operative adjuvant therapy with Aslem tend to increase the survival rate after resection (60.61% of the treated group compared with 33.33% of the untreated group)
surgery, neoplasms

The authors present a morphological study of 864 ovarian tumors operated of Institute for Mother and Newborn Protection from October 2000 to June 2002. Results indicated that: seven hundred and seven cases are tumors (16.0%) and 18 cases are low malignant potential tumors. The great majority of benign tumors were detected under 45 years old. The great majority of benign tumors were less than 9cm in diameter.
Ovarian Neoplasms ; Neoplasms ; surgery ; Mothers

The cross-sectional descriptive study was performed at Hospital K from January 1995 to December 1999 on 171 patients with gastric cancer. Among them, 110 had had fully information about their status. 31% had got 5 years old survival ability with the mean survival duration of 40 months. Post operative prognostic significant factors: the level of invasion of tumor, 5 years old survival ability minimized progressively from T1 to T4 reached 100%, 39%, 18% and 0%, glandular metastasis and distant meastasis which affected to survival duration; the tumor of a size < 5cm had got better prognosis versus that of > 5cm of size and 10cm of size; prognosis was better with higher differentiated type of cells than those of lower defferentiated type; prognosis was better in intestinal type than in dispersing type. The age, the gender, the weight loss were not related to postoperative survival duration.
Stomach Neoplasms ; Surgery ; Therapeutics

To report the efficacy and safety of transsphenidal approach in a series of patients with pituitary adenoma, ninety-one consecutive patients undergoing transsphenoidal surgery of a pituitary adenoma at neurosurgical department, Cho Ray Hospital from January 2001 to June 2003 were included in this study. Postoperative results were analyzed. Total removal rate was 24.2% and partial removal rate was 7.7%. There were 4 patients had rhenorrhea and meningitis. Two patients died because of surgery. Normalization of visual defect was good. Transsphenoidal surgery is an effective and safe treatment for most patients with pituitary adenoma and could be considered the first choice therapy in most of the cases. Sublabial transseptal approach is suitable for our conditions.
Pituitary Neoplasms ; Surgery ; Therapeutics

Background: Lewis surgery has been applied in the Department of Digestive Surgery, Viet-Duc hospital since 1991 and became routine surgery in the treatment of the lower two-thirds of the esophagus cancer. Objective: To present Lewis technique and results of operation in treating the lower two-thirds of the esophagus cancer. Subjects and methods: The study was carried out on 90 patients (86 men and 4 women) with the lower two-thirds of the esophagus cancer operated by the Lewis\u2019s technique. The average age of these patients was 52.3 \xb1 9.2. \r\n', u'Results: Disease stages: stage I: 2 cases (2.2%), stage IIA: 23 cases (25.6%), stage IIA: 23 cases (25.6%), stage IIB: 10 cases (11.1%), stage III: 42 cases (46.7%), stage IV: 13 cases (14.4%). There were three cases of postoperative death (5.6%). 34 cases had surgical complications or complications after surgery. The average survival time of patients after surgery was 23.8 months \xb1 2.8. Postoperative survival time of 1 year, 2 years, 3 years, 5 years was 58.2%, 39.2%, 23.4% and 12.0% respectively.\r\n', u'Conclusion: Mortality and postoperative complications of the surgery were low. So it should be selected for the treatment of the lower two-thirds of the esophagus cancer. The surgery helped 96.5% of patients to eat normally again. 5-year survival time after surgery was low because of diagnosis and surgery in late stages\r\n', u'\r\n', u'
Esophageal Neoplasms/ surgery

Background: Surgical treatment of esophageal carcinoma is a main operation in term of both technique and anesthesiology. The Orringer technique is one of the treatments. Objectives: 1. To describe clinical and subclinical characteristics of the middle and lower-third esophageal carcinoma. 2. To assess preliminary results of Orringer technique in treating of the middle and lower-third esophageal carcinoma. Subjects and method: A prospective, descriptive, following by time study was conducted in the patients who were diagnosed the middle and lower third esophageal carcinoma and operated by Orringer technique at the Department of Digestive Surgery in Viet Duc Hospital from January/2000 to June/2006. Results: The subclinical symptoms included difficult swallow (98.5%), anorexia and loss weight (98.5%), pain in chest (23.5%), loss of voice (2.9%) and bloody vomiting (5.9%). For clinical symptoms, 54/68 patients (79.4%) had lesions in lower-third esophageal, 14/68 (20.6%) had lesions in the middle-third esophageal. The average length of the lesions was 6.23\xb12.22cm (95% CI=5.69-6.77). The average operation time was 273.38 \xb154.56 minutes (range: 140-420), which is much faster than those in esophagectomy via thoracotomy: Lewis-Santy technique (324 minutes) and Akiyama technique (480 minutes). Both intraoperative and post-operative complications of Orringer technique were less than those of esophagectomy via thoracotomy. Conclusion: In this study, the clinical and subclinical strongest characteristics of the patients with the middle-third esophageal carcinoma appear in the advanced period (III period and IV period (over 70%)). Orringer technique had faster operation time, less complications and lower mortality than those of esophagectomy via thoracotomy.
Esophageal Neoplasms/ surgery ; therapy

Review of 84 patients with esophagus cancer operated from 1994 to 2000 by different techniques of esophagectomy was presented. 77 patients alived after operation were followed up to for survival and 12 prognosis factors were referred to this study. Survival time was calculated as 57.3%, 2 years survival 34.3%, 3 years survival 24.2%, and 5 years survival was 10.2%. By single analysis method, 5 factors having affected significantly to survival time were palliative or curative operation, the degree of differentiation of the tumour, ganglion metastasis and the TNM staging (p<0.05).
Surgery ; Esophageal Neoplasms

The author reported 37 cases of pituitary adenoma operated in Department of Neurosurgery, Cho Ray hospital during the period of 30 months. Pitutary adenomas occupated 5.4% of all intracranial tumors. They occurred equally in both male and female and dominated at 30-40 of the age. The most common symptoms was visual disturbance with 57.1% had atrophy of optic nerve and endocrinological disturbance with amenorrhea (7 cases), acromegaly (4 cases), diabetes and galatorrhea. Endocrinological investigation indicated that the hyperprolactinaemia is a main disturbance (14 cases). Treatment results were not so good with 13.5% of bad results and dead. The author also discussed about the classification of pituitary function and the role of modern diagnostic equipments allowing earlier diagnosis. The surgical treatment was simple with the mainly applying of transcranial approach.
Pituitary Neoplasms ; Surgery ; therapeutics

A study on the microscopic and macroscopic pictures of 32 samples from patients with rectal cancer who received the rectostomy has shown that most of patients were lately detected in which DUKES A (3%), DUKES B (50%), DUKES C (38%), DUKES D (9%). 3 cases detected to have cancer cells was under the incision about 1cm. For cancer located far from the anal edge about 5 cm, the operation can conservate the sphincter muscle
Rectal Neoplasms ; Surgery

It is necessary to find early the maxillofacial tumors and ulceration to treat well. During 1998-1999, the Instituteof maxillo-facio dentology have implemented 676 pathological anatomical tests (male: 353) in which the benign diseases (585 cases: 86%) and malignant diseases (91 cases: 14%).
Maxillary Neoplasms ; Surgery, Oral