Introduction-Methods: Laparoscopic Surgery is now widely developed throughout the world. The same thing does happen at Vietnam from 1992. This study aim to collect all data of Vietnamese Laparoscopic Surgery from 1992 up to now (1999) - by reports from 60 Institutes and hospitals throughout Vietnam as well as many published reports of Vietnamese doctors. By this, suggest the direction of laparoscopic surgery development in near future. Result: By the reports of 60 Institutes - Hospitals: 12 of central level- directly lead by the Ministry of health and 48 other ones (mainly provincial hospitals) Twenty six of them (43,3%) perform already laparoscopic surgery (LS). So 3/4 (75%) hospital lead by the Ministry of Health, and almost one third (35,5%) of other hospital has installed L.S. The total number of surgery is 22.351 cases of abdominal surgery, obstetric- gynecology, cardiovascular thoracic surgery, ENT with good results. Actual difficulties: financial support, material and equipment. Direction: development of LS to big provincial hospitals especially University Centers as well as performing of difficult operations of high quality and minimally invasive technique. Attention must be paid for the patient‘s safety, firstly for indication and surgical procedure. Conclusion: L.S is fairly developed in Viet nam (quantity and quality). It is needed further development. Particular attention must be paid for patient‘s safety (indication, surgical procedure). Local made equipment materials are preferable to reduce the medical fees
Laparoscopy ; Cholecystectomy, Laparoscopic ; surgery

Purpose: study particularity of died patients at Viet Duc hospital in 1996. Material - Method: review reports of duty residents (every day), pathological department (monthly report) registered book of General Planning department and medical dossiers. Result: from 1/12/95 to 30/11/96: 458 deaths (52 died before admission), giving overall death rate 2.37%; 91.7% of them are emergent cases. Causes: traumatology 338 cases (73.7%) including traffic injury (81.3%), and pathology condition 120 cases (26.2%). Causes of death: polytraumatology, head injury, hear and vessel operation, biliary infectious shock, portal hypertension, bleeding etc. Conclusion: to reduce mortality rate: amelioration of different units coping with emergency, invest medical equipments. For traffic accident: a movement of combined actions of the police, the ministry of transportation, medical profession is needed to inform the public of prevention (traffic law, helmet wearing,...).
mortality ; Accidents, Traffic

Traffic accident (TA) is now increasing and become a great cause of ' hospital overload'. One of its main causes is motocycle. Study was carried out on the traffic accident injury of people using motorcycle arriving at Emergency of Viet Duc Hospital during # 2 months of 1999. 780 cases (2 died before arrival) M: 565 (72.44%), F: 215 (27.56%), median age 32 (1-87), mainly happened during 14h-24 h (70%) at Hanoi 500 (64.1%) outside 274 (35.13%). Traffic accident frequently met at 2 ways streets and highway, with motosize 76-100 ml. There are 1 person and 2 persons on motorcycle at accident time of 563 drivers, 59.1% have licence, 16.7% related with alcohol and only 5.8% with helmet. Treatment: non-admission (discharge after care) 591 cases (75.96%) hospitalization (187-24.03%) principally at 2 departments: Trauma- Orthopady (89 cases 47.59%) and Neurosurgery (81 cases - 43.31%). Surgery: 70 cases. Death 13 (1.67%), back home (to die): 22(2.82%). Motorcycle is a most important vehicle of traffic accident. Main trauma: limb and injury. Main road: 2 ways street and highway (1A+ 5th). Helmet effectively protects people from injury.
Accidents, Traffic ; Wounds and Injuries