Background: The comparing the pancreaticojejunostomy with the pancreaticogastrostomy after pancreaticoduodenectomy operation in terms morbidity, pancreatic fistula and mortality. Patients and Methods: including retrospective 136 patients with diseases of the pancreas underwent pancreaticoduodenectomy operating at the Hue centre Hospital from January 2000 to anuary 2015. Results: morbidity rate of the pancreaticojejunostomy versus the pancreaticogastrostomy was (16%) and (15%). Numbers of patients of multiple compliations of the pancreaticojejunostomy group versus the pancreaticogastrostomy was 13 and 10. The pancreatic fistula and mortality rate of the pancreaticojejunostomy were (6.4%) and (1,3%), whereas those of the pancreaticogastrostomy were (5,0%) and (3,4%) respectively. Conclusions: there was no significant difference between the to groups with regard to pancreatic fistula, morbidity and mortality rate. key word: pancreaticoduodenectomy, pancreaticojejunostomy, pancreaticogastrostomy.

Purpose: This study was evaluated report pathology and results of laparoscopic splenectomy of the spleen disease. Methods: All 61 pateints of laparoscopic splenectomy in Hue central hospital (2010 – 2015) are assembled, analyse the pathology, surgical techniques, complications and results. Results: Laparoscopic splenectomy was indicated of major benign spleen disease. Mean age 36 ± 9.2 (range 16 – 71). The spleen was classification I – III stage. Successfull laparoscopic splenectomy (95,2%), two pateints were going on laparostomy. Low rate of complication is presented. Duration of stay in hospital was 5 to 7 days. Conclusion: Laparoscopic splenectomy was safe and effective. Key words: Laparoscopic splenectomy

Aim: To evaluated the feasibility and initial outcomes application of laparoscopic rectocolectomy with specimen retrieval through natural orifices specimen extraction (N.O.S.E). Material and Method: Prospective, retrospective study in 20 patients were diagnosted sigmoid and rectal cancer and underwent laparoscopic anterior resection, low anterior resection with specimen retrieval through natural orifices specimen extraction (N.O.S.E) at Hue Central Hospital from 2011 to 2013. Results: All cases were successfully performed by laparoscopy. There was no complications during and after operation. Patients felt less pain, had early bowel movement and early discharge from hospital. Conclusions:Our initial experiences showed that laparoscopic surgery with specimen retrieval through natural orifices is feasible. It has full advantages of laparoscopic colectomy otherwise, it prevents an abdominal incision for specimen retrieval. Patient has less pain and short hospitalization. There will be a need for a larger cases study with longer follow-up time to further evaluate the outcome of this method, espencially in oncology. Keywords: colorectal laparoscopic surgery, specimen retrieval transanal.

Objective: To research the indications, methods and access the outcomes of thoracoscopic esophagectomy for intrathoracic esophageal cancer. Methods: From 2009 to 2011, 71 patients of intrathoracic esophageal cancer underwent thoracoscopic esophagectomy at Digestif Surgery Department of Hue Central Hospital. Upper third: 13 cases, middle third: 41 cases and lower third: 17 cases. T3,N1 was found with the highest percentage. Results: Ratio male/female is 69/2, mean age: 63, no case of open conversion, 2 cases broncheal rupture, 6 cases anastomotic leak, 12 cases pneumonia (1 case to be death). Conclusion: Thoracoscopic esophagectomy for esophageal cancer is a a feasible and safe procedure with perioperative complication are acceptable. However, let is a long-term research to evaluate the oncology effection.