The study carried out on 58 patients (45 men and 13 women) from 4 to 53 years old with hepatic venous injuries who were operated in Viet Duc Hospital. The result showed that there were 4 common kinds of hepatic venous injuries. Among them, retrohepatic venous injuries commonly causes death due to acute and uncontrol blood loss. The methods to treat hepatic venous injuries tend to don’t use shunt because of disadvantages. The methods include early surgery, attach liver to the diaphragm to stop the bleeding, blood transfusion with high amount and rapid speed to raise blood pressure, liver resection according to injury, pining liver stalk, chocking antlers, in case of need pining inferior vena cava, deal with vein injury was the most common and effective method to reduce mortality rate of patients with hepatic venous injuries
Hepatic Veins ; Surgery

Background: Nowadays, bleeding due to rupture of esophageal vein is common severe complication of portal hypertension syndrome. Spleno-renal vein anastomoses are useful procedure in the prevention of recurrent bleeding but there are some disadvantages. Objectives: To evaluate results of splenectomy, spleno-renal vein anastomoses in the prevention of recurrent bleeding due to portal hypertension at GI Emergency Department, Viet Duc Hospital. Subjects and method: This intervention study was carried out on 34 patients with bleeding due to rupture of esophageal vein in cirrhosis and portal hypertension. All patients underwent splenectomy, spleno-renal vein anastomoses. Mortality rate, recurrent bleeding, and anastomotic flow were assessed. Results and Conclusion: 34 patients (29 males and 5 females) with Child A and B cirrhosis underwent splenectomy and spleno-renal vein anastomoses. These procedures can prevent 88% of recurrent bleeding due to rupture of esophageal vein in cirrhosis and portal hypertension after 18 months of follow-up. 12% patients had recurrent bleeding. The number of patients with postoperative hepato-cerebral syndrome was small. The anastomotic stricture rate was suitable.
Splenectomy ; Fibrosis/ surgery ; Hypertension ; Portal ;

Backgrounds: cholecystitis is a common disease in surgery. The rate of acute cholecystitis alone without gall stones in the literature is approximately 50-10% of all acute cholecystitis. In Vietnam, this prevalence is very high, up to 47% of acute cholecystitis alone and the disease is common in people over age 50, with a history of hypertension. Objectives: to descript clinical, paraclinical features, and results of acute cholecystitis surgical treatment (open surgery and laparoscopic surgery) in the elderly at Viet Duc Hospital. Subjectives and Method: a cross-sectional study was carried out on 119 patients aged 60 or older diagnosed with acute cholecystitis, was operated at the Viet Duc hospital from January 2006 to July 2006. Status of body organs was assessed by classification of the American Society of Anesthesiologists (ASA). Results: cholecystitis in the elderly was mainly caused by chronic inflammation due to stone (88.2%). The rate of acute inflammation accounts for 11.8%. Female (63.9%). The most commonly age group was from 60-69 years old. Scheduled surgery accounts for 75.6%, emergency surgery 24.4%. Open surgery accounted for 11.8%, laparoscopic surgery accounted for 84%. Earlier results: good 87.4%, average 8.4%, poor 4.2%. Results after 3 months: good result accounted for 88.7%. Conclussion: cholecystitis in the elderly was mainly caused by chronic inflammation due to stone. Surgical treatment was generally good results (including early and late results).
Cholecystitis/ pathology ; surgery ;