Laparoscopic single incision gastrointestinal disease with normal surgical instruments

The doctors of Gastroenterology Department - Vinmec International General Hospital have updated the surgical technique in advanced countries, performing a single-incision endoscopic technique (where there is a place called a hole) with a common endoscopic instrument. often bring many benefits to the patient.

Small incisions, pain relief from the beginning of 2015 until now, Dr. Nguyen Ngoc Khanh - Vinmec Gastroenterology Department has successfully operated dozens of single-hole laparoscopic surgeries with conventional surgical instruments. All surgeries were effective, no infection. In particular, patients are satisfied with small incisions and reasonable surgical costs.
Laparoscopic surgery is the trend of modern surgery, which is the choice of doctors and patients when possible. There are 2 common laparoscopic methods: surgery through 3 incisions or using expensive specialized tools to make 1 incision. However, when endoscopic 1 hole with specialized tools, the patient will have to pay a rather high cost for this kit imported from abroad and used once. Therefore, in many advanced countries, experienced surgeons have improved the use of conventional 3-incision laparoscopic instruments to perform single-incision laparoscopic surgery through the navel. With this improved method, the surgery only requires a 2-cm skin incision in the navel; avoid possible complications of umbilical hernia. At the same time, the scar is small, the patient is also less painful than the conventional laparoscopic surgery. Khanh said: “Each surgery only lasts about 30 minutes with routine postoperative care. With those advantages, many patients who know about single-hole laparoscopic surgery with laparoscopic instruments for digestive diseases at Vinmec all want to choose this method." In June 2015, Ms. Tran Thi Mai (40 years old, from Trung Khanh, Cao Bang) had pain in her right lower abdomen, no fever or jaundice. She went for an ultrasound and discovered gallstones. She was advised to have laparoscopic cholecystectomy. After finding out information, she decided to go from Cao Bang to Vinmec International General Hospital for treatment. After examining and realizing that her location is suitable for laparoscopic surgery with an incision in Mai's case, Dr. Khanh consulted and operated for her with this method. After one day of surgery, Mai was discharged from the hospital. Currently, her health is completely normal.

The most feared acute complication of gallstones is severe acute pancreatitis (usually associated with small stones). Another complication is acute cholecystitis due to stones requiring emergency surgery. Gallstones falling into the common bile duct causing obstructive jaundice will require complex treatment. Long-term gallbladder stones will cause chronic cholecystitis - one of the causes of gallbladder cancer. Therefore, when gallstones are detected, patients should have active surgery to avoid these serious complications.
With gallstone disease, symptoms are often vague or absent, often detected incidentally on abdominal ultrasound. Symptoms of gallstones, if present, are usually pain under the right flank, radiating to the back and right shoulder. If cholecystitis is acute, there will be high fever, chills, if cholestasis, jaundice will occur. Sometimes patients come to the hospital with another serious condition, acute necrotizing pancreatitis due to gallstones. Diagnosis of gallbladder is quite simple and accurate, can be done by ultrasound for quick, painless results.