1.Diagnosis and treatment of mesenteric soft tissue tumor
Journal of Practical Medicine 2002;435(11):9-12
A retrospective study on 18 cases of mesenteric soft tissue tumor in Vietduc Hospital during 1991-2001 has shown that the duration of disease progress was 9 months. The ultrasound found precisely 44,4% of tumor positions. CT scanner only found precisely 1 position. The image diagnostic methods were not different from clinical diagnosis. The operation was major treatment, 83,3% of tumors were removed and there were no postoperative complications. The shortest survival duration was 11 months
Mesenteric Cyst
;
contraindications
;
diagnosis
;
therapy
;
Soft Tissue Neoplasms
2.A case of Hemophilia with postperitoneal bleeding that rupturing in to abdominal cavity, operated
Journal of Preventive Medicine 2001;11(4):51-53
This study introduced a case of mild hemophilia with postperitoneal bleeding that rupturing in to the abdominal cavity operated. The disease was lately detected and treated by drug therapy such as fluid compensation, emergency transfusion of factor VIII and tests. The postoperative results found good outcome.
Hemophilia A
;
Abdominal Cavity
3.Malignant lymphoid tumor of mesentery
Journal of Practical Medicine 2003;439(1):31-34
Retrospective investigation was performed on 16 patients with lymphoid tumor in mesentery operated in Viet Duc Hospital from 1991 to 2001. Diagnosis signs of clinical value included: abdominal pain (93%), loss of body weight (56,2%), tumor palpable in abdomen (75%), mobile tumor (58,33%). 12/16 patients undergo an ultrasonic examination and in 4/12 ganglion tumor, 2/12-mesenterial tumor, 6/12 undefined tumor in the abdomen were detected. The operation must be considered to solve the complications (11/16 patients) and determine the phase of disease. Once the result of pathological anatomy is concluded, a post-operation chemiotherapy must be realized systematically
Lymphoid Tissue
;
Neoplasms
;
Mesentery
4.The bilirubin jaundice in gallbladder carcinoma: pathology mechanism and treatment
Journal of Practical Medicine 2004;487(9):21-24
Report a case of woman with gallbladder carcinoma. Her jaundice symptom was due to lymph node metastases in root of liver, behind head of pancreas, externally blocked the lower choledochus, not due to carcinoma directly invaded common bile duct and root of liver. In one patient with gallbladder carcinoma or other gastrointestinal cancer, systematic check of peripheral lymph nodes, supraclavicular nodes is a basic examination. Treatment is hepatectomy and lymphadenectomy.
Jaundice
;
Bilirubin
;
Carcinoma
;
Gallbladder
;
Therapeutics
5.Hepatic trauma \ufffd?determinants to treatment attitude in Viet Duc hospital
Quyet Tien Nguyen ; Hien Trong Duong ; Nghia Quang Nguyen
Journal of Surgery 2007;57(1):34-43
Background: Hepatic trauma is the second injury of closed abdominal injury, but it is the leading cause of death. The most of hepatic trauma due to closed abdominal injury caused by traffic accident. Objectives: To assess determinants to treatment attitude of hepatic trauma patients treated in Viet Duc hospital. Subjects and method: A cross-section descriptive study was conducted on 157 patients with closed abdominal injury (118 male, 39 female), was diagnosed with hepatic trauma, treated in Viet Duc hospital from January, 2004 to April, 2006. Results: The average age of patients were 28.9\xb113 for male, 28.8\xb112 for female. The common occupations were farmers (35.7%), workers (14.6%), no professional 14.6% and other jobs (35.1%). Combined injuries included: cranial trauma (9.6%), facial trauma (10.2%), chest trauma (17.2%), major bone trauma (7.6%). 19.7% patients with combined injuries were operated. 130 patients with hepatic trauma (82.2%) was detected by ultrasound, 1 patient with splenic trauma combined hepatic repture. The differences between shock of admission, level of hepatic trauma and the amount of blood in abdominal CT scans to treatment attitude were having a statistically significant with p<0.001, p<0.001 and p=0.005, respective. Conclusion: Recently, the treatment attitudes with hepatic trauma patients have more changed. Hemodynamic stability, clinical close monitoring, excluding combined injuries required surgery and assessing injuries by CT scans are important factors to indicate conservation therapy for hepatic trauma. Conservation therapy is safe and effective in the treatment of hepatic trauma in Viet Duc hospital.
Liver/ injuries
;
Attitude
;
6.Esophagectomy technique with supported thoracoscopy
Chuc Vinh Hoang ; Oanh Thuy Nguyen ; Nghia Quang Le
Journal of Surgery 2007;57(1):20-23
Background: Esophageal cancer is a common disease at Digestive Surgery Department of Binh Dan hospital. Surgical treatment is still a main procedure. Objectives: Study on a less invasive surgical technique in esophagectomy with supported thoracoscopy to provide a new esophageal cancer treatment. Subjects and method: Application on a new technique via thoracoscopy to esophagectomy totally in 6 patients (1 female, 5 males), aged 60 years on average, treated in Digestive Surgery Department of Binh Dan hospital from March 2006 to June 2006. Results: The average surgical time was 260 minutes. There was no event during operation. Postoperative complications included: 1 patient had to stitch abdominal wall after operative 7 days, 3 patients with pneumonia after successful operation, 2 patients with right pneumothorax, having to put siphonage. There was one case of death without related to operative technique. Conclusion: Esophagectomy is major operation that can be conducted via open surgery or laparoscopic surgery. Although small case studies, researchers found that laparoscopic surgery is a feasible technique, can be performed safely if the surgeons having experience in open surgery and good skills on laparoscopic surgery. However, thoracoscopic esophagectomy can only be considered as a surgical method, without an alternative method to traditional open surgery.
Esophagectomy
;
Esophageal Neoplasms/surgery
;
Thoracoscopy
;
7.Outcomes of liver transplantation for hepatocellular carcinoma:Experiences from a Vietnamese center
Khai Viet NINH ; Dang Hai DO ; Trung Duc NGUYEN ; Phuong Ha TRAN ; Tuan HOANG ; Dung Thanh LE ; Nghia Quang NGUYEN
Annals of Hepato-Biliary-Pancreatic Surgery 2024;28(1):34-41
Background:
s/Aims: Liver transplantation (LT) provides a favorable outcome for patients with hepatocellular carcinoma (HCC) and was launched in Vietnam in 2004. In this study, we evaluated the short-term and long-term outcomes of LT and its risk factors.
Methods:
This retrospective study analyzed HCC patients who underwent LT at Viet Duc University hospital, Vietnam, from 01/2012–03/2022. The following data were gathered: demographics, virus infection, tumor characteristics, alpha-fetoprotein (AFP) level, Child-Pugh and MELD scores, selection criteria, type of LT, complications, 30-day mortality, and disease-free and overall survival (DFS and OS).
Results:
Fifty four patients were included, the mean age was 55.39 ± 8.46 years. Nearly 90% had hepatitis B virus-related HCC. The median (interquartile range) AFP level was 16.2 (88.7) ng/mL. The average MELD score was 10.57 ± 5.95; the rate of Child-Pugh A and B were 70.4% and 18.5%, respectively. Nearly 40% of the patients were within Milan criteria, brain-dead donor was 83.3%. Hepatic and portal vein thrombosis occurred in 0% and 1.9%, respectively; hepatic artery thrombosis 1.9%, biliary leakage 5.6%, and postoperative hemorrhage 3.7%. Ninety-day mortality was 5.6%. Five-year DFS and OS were 79.3% and 81.4%, respectively. MELD score and ChildPugh score were predictive factors for DFS and OS (p < 0.05). In multivariate analysis, Child-Pugh score was the only significant factor (p < 0.05).
Conclusions
In Vietnam, LT is an effective therapy for HCC with an acceptable complication rate, mortality rate, and good survival outcomes, and should be further encouraged.
8.Outcomes of liver transplantation for hepatocellular carcinoma:Experiences from a Vietnamese center
Khai Viet NINH ; Dang Hai DO ; Trung Duc NGUYEN ; Phuong Ha TRAN ; Tuan HOANG ; Dung Thanh LE ; Nghia Quang NGUYEN
Annals of Hepato-Biliary-Pancreatic Surgery 2024;28(1):34-41
Background:
s/Aims: Liver transplantation (LT) provides a favorable outcome for patients with hepatocellular carcinoma (HCC) and was launched in Vietnam in 2004. In this study, we evaluated the short-term and long-term outcomes of LT and its risk factors.
Methods:
This retrospective study analyzed HCC patients who underwent LT at Viet Duc University hospital, Vietnam, from 01/2012–03/2022. The following data were gathered: demographics, virus infection, tumor characteristics, alpha-fetoprotein (AFP) level, Child-Pugh and MELD scores, selection criteria, type of LT, complications, 30-day mortality, and disease-free and overall survival (DFS and OS).
Results:
Fifty four patients were included, the mean age was 55.39 ± 8.46 years. Nearly 90% had hepatitis B virus-related HCC. The median (interquartile range) AFP level was 16.2 (88.7) ng/mL. The average MELD score was 10.57 ± 5.95; the rate of Child-Pugh A and B were 70.4% and 18.5%, respectively. Nearly 40% of the patients were within Milan criteria, brain-dead donor was 83.3%. Hepatic and portal vein thrombosis occurred in 0% and 1.9%, respectively; hepatic artery thrombosis 1.9%, biliary leakage 5.6%, and postoperative hemorrhage 3.7%. Ninety-day mortality was 5.6%. Five-year DFS and OS were 79.3% and 81.4%, respectively. MELD score and ChildPugh score were predictive factors for DFS and OS (p < 0.05). In multivariate analysis, Child-Pugh score was the only significant factor (p < 0.05).
Conclusions
In Vietnam, LT is an effective therapy for HCC with an acceptable complication rate, mortality rate, and good survival outcomes, and should be further encouraged.
9.Outcomes of liver transplantation for hepatocellular carcinoma:Experiences from a Vietnamese center
Khai Viet NINH ; Dang Hai DO ; Trung Duc NGUYEN ; Phuong Ha TRAN ; Tuan HOANG ; Dung Thanh LE ; Nghia Quang NGUYEN
Annals of Hepato-Biliary-Pancreatic Surgery 2024;28(1):34-41
Background:
s/Aims: Liver transplantation (LT) provides a favorable outcome for patients with hepatocellular carcinoma (HCC) and was launched in Vietnam in 2004. In this study, we evaluated the short-term and long-term outcomes of LT and its risk factors.
Methods:
This retrospective study analyzed HCC patients who underwent LT at Viet Duc University hospital, Vietnam, from 01/2012–03/2022. The following data were gathered: demographics, virus infection, tumor characteristics, alpha-fetoprotein (AFP) level, Child-Pugh and MELD scores, selection criteria, type of LT, complications, 30-day mortality, and disease-free and overall survival (DFS and OS).
Results:
Fifty four patients were included, the mean age was 55.39 ± 8.46 years. Nearly 90% had hepatitis B virus-related HCC. The median (interquartile range) AFP level was 16.2 (88.7) ng/mL. The average MELD score was 10.57 ± 5.95; the rate of Child-Pugh A and B were 70.4% and 18.5%, respectively. Nearly 40% of the patients were within Milan criteria, brain-dead donor was 83.3%. Hepatic and portal vein thrombosis occurred in 0% and 1.9%, respectively; hepatic artery thrombosis 1.9%, biliary leakage 5.6%, and postoperative hemorrhage 3.7%. Ninety-day mortality was 5.6%. Five-year DFS and OS were 79.3% and 81.4%, respectively. MELD score and ChildPugh score were predictive factors for DFS and OS (p < 0.05). In multivariate analysis, Child-Pugh score was the only significant factor (p < 0.05).
Conclusions
In Vietnam, LT is an effective therapy for HCC with an acceptable complication rate, mortality rate, and good survival outcomes, and should be further encouraged.
10.Outcomes of liver transplantation for hepatocellular carcinoma:Experiences from a Vietnamese center
Khai Viet NINH ; Dang Hai DO ; Trung Duc NGUYEN ; Phuong Ha TRAN ; Tuan HOANG ; Dung Thanh LE ; Nghia Quang NGUYEN
Annals of Hepato-Biliary-Pancreatic Surgery 2024;28(1):34-41
Background:
s/Aims: Liver transplantation (LT) provides a favorable outcome for patients with hepatocellular carcinoma (HCC) and was launched in Vietnam in 2004. In this study, we evaluated the short-term and long-term outcomes of LT and its risk factors.
Methods:
This retrospective study analyzed HCC patients who underwent LT at Viet Duc University hospital, Vietnam, from 01/2012–03/2022. The following data were gathered: demographics, virus infection, tumor characteristics, alpha-fetoprotein (AFP) level, Child-Pugh and MELD scores, selection criteria, type of LT, complications, 30-day mortality, and disease-free and overall survival (DFS and OS).
Results:
Fifty four patients were included, the mean age was 55.39 ± 8.46 years. Nearly 90% had hepatitis B virus-related HCC. The median (interquartile range) AFP level was 16.2 (88.7) ng/mL. The average MELD score was 10.57 ± 5.95; the rate of Child-Pugh A and B were 70.4% and 18.5%, respectively. Nearly 40% of the patients were within Milan criteria, brain-dead donor was 83.3%. Hepatic and portal vein thrombosis occurred in 0% and 1.9%, respectively; hepatic artery thrombosis 1.9%, biliary leakage 5.6%, and postoperative hemorrhage 3.7%. Ninety-day mortality was 5.6%. Five-year DFS and OS were 79.3% and 81.4%, respectively. MELD score and ChildPugh score were predictive factors for DFS and OS (p < 0.05). In multivariate analysis, Child-Pugh score was the only significant factor (p < 0.05).
Conclusions
In Vietnam, LT is an effective therapy for HCC with an acceptable complication rate, mortality rate, and good survival outcomes, and should be further encouraged.