Bài viết Phẫu thuật nội soi điều trị bệnh co thắt tâm vị: Kinh nghiệm qua 10 năm theo dõi tại khoa phẫu thuật tiêu hóa bệnh viện Việt Đức trình bày nghiên cứu được thực hiện nhằm đánh giá kết quả của phẫu thuật nội soi điều trị bệnh co thắt tâm vị, có hay không có kết hợp chống trào ngược. Kết quả cho thấy 93 bệnh nhân ban đầu dự kiến mổ nội soi đã có 4 bệnh nhân phải chuyển sang mổ mở vì những khó khăn kỹ thuật,... Mời các bạn cùng tham khảo.
J KLMNOP QRSTNUVWXRY ZTW[ \]^_W`NabZN\J K c\STXTXTO OdefghiMjh 2,-.(/ 8&#:"56;44& 4/#&'("k>F-G"9#l"#&)((#m5Fn(#/&nop9q>r"s!I#t>9#>C9(4&?7&F&u>9,v)(#"79#w99x5y2"z #!Bo#6(/"zop9#GI"#{(/9,;7(/-G"A|p9q>r"#79#HB8}v)(#(#x(v!(F~>=lo&p(5(4&?7&F"z v)(#(#x(I#r&"#>B(?!(/55y(#(/o#zo# (o9#>C9A2%)"#>B(55%; 2}A0{"(%8&%; 78v)(#(#x(?F-G"F-!y;7I#x(9"#2v!7/5 (!59 28 y; 8(92 A2>&9,>(/y %;} 9>&9 A3n"9#s9#>C9"#{(/9,;7(/-G"v!7/54&??( 8v)(#(#x(27,}227>I9v)(#(#x( y;"zv)(#(#x(o#6(/%;5 "#{(/9,;7(/-G"A2!&v&p(y;v&p("#k(/*9#s(/(&'5 58"9#l"q>r( v)(#(#x(2,n"#5;(/I#&9,n&v)(#(#x(y&'5I#"58"y;7(/;B9#k?!>5v)(#(#x(2o#6(/"z 9y7(/?!>5A2#.&/&!(59,>(/v(#*}2 2I#99 } (/;B(m5y&)(9,>(/v(#*28 27(/;B9} A2%)9#7=&!F89827A2#.&/&!(9#7=&9,>(/v(#%;}72} 2}79#n(/9 } 9#n(/ A2(#9,8(/(>{9(/#(F-G""r&9#&)(,,)99H9"r"n"I#-1(/I#nII#t>9#>C92"z#!Bo#6(/op9 #GI%;5"#{(/9,;7(/-G"A#t>9#>C9(4&?7&F&u>9,"79#w99x5yFr5vr79(#!(97;(y;#&)>q>r"!7A YĂÂhÊÔƠƯƠƠĐăâêÊôơĂƠĂưƠhđÔăjƠĂÂh OXOP àả áạááằẳ ẵắạặ áạầẩáẫấậ èẻẽầéáẹẫèẹầáềẫểễếẫấèệạìáỉẫạ áéẫấéảẫẵẩẫèẫấẫấầĩềẫíạịáòáạ ỏầõẫóèọáéẫấồổạỗẫáẻẫấẳốáẫạầèẫấ ạảặẫáảặẫẵặộáạááạỏầõẫễờởỡớ ợạùẫấẳổéợạẫầáủũúụừỗẳẳờạặẫấ ẫửẳ ò ồỗẫạ ẫặĩ áéềẫ áảặẫ ẹầ ặ ẵặả ợạảõẫấáữứóựỳủỷủứứúứứứễằẫóảẫạốáặổ ỹáầýỵứ0ứáầý1ẫẳ ẵặẫậ2áừỗẳ áộẫấ èộẫấ ẫạầ 3ũú45 ửẫ ẫấầĩềẫ ò ồỗẫạảáạááằẳ ẵắạỗẫ6ẫạé7éặẫấẵỉ áạ8áéảẫấè5ầáéắạỗẫ á9ẫ áẫạ5ầ íạộẫấ íạịíợạịẫạầẫạẫấíạýồ8ẫẫạốáặạ íạộẫấíạịí ẫảẫấáạỏầõẫẵặẳýáộ áạỏầõẫ ễờóẫấảặẫềẳ ẳú ếè ạ !"#$%&'(#)* +2,-.(/01(23456(4/78&29,-.(/ 8&#:"56;44& 7(/?7( 7@/5!&%A"75 4/;B(#C(* 7D D 4/;BF-G""#HI9#>C(* 8D7D 234356789 òịíạộẫấíạịíẫặĩạìẫạ ẳ ặẳ ạả ộáạááạỏầõẫễờẳổéóặẳẳốáèáéỗầ ạỹẫấẫầáẫấạẫú 8ầẫạạáạẩíợừáéờèằĩíạầáạầẩá è5ầáéắồỗẫạảáạááằẳẵắạòĩ8ầặẳýẳổ áạỉẫạậẫấẫửẳ ấẹẫèằĩóẵờầốáạỗẫò ịảạỉẫạíạầáạầẩá áằẳốẫóíạầáạầẩá è5ầáéắảáạááằẳ ẵắè2ẫạậẫấồờá8ẫ ẵẻáồẩóèọồỗáợệáữợạớạẳẵặấéẫ ùẫấ ẹẫ èẹầ áềẫ ỹẫấ ễếẫấ áạặẫạ ùẫấ íạầáạầẩáẫảẳổộáạỏầõẫáằẳ ẵắ ỏầèẫấồếẫấạảọỏầèẫấẫấỵũú ớầạộẫ3ứẫửẳóợ8ẫấẹẫẫạáạẫấẫạốá ạảặẫáảặẫẵờẫạậẫấầèệẳ é7éặẫấẵ5á ẫạ ẫáảặẫẵặạỗầỏầõòíạầáạầẩááẳổộ áạỏầõẫáạảíạộẫấíạịíẽéỏầẫ ảẫấõồếẫấ1ựũúụầĩẫạềẫóạỗẫẵẫ6ẫ èẫấá9ẫáẳáèệẳáéẫạầẫấỏầẫạ ị ẵốẫ è5 ẫạ ẫềẫ ợ8áạẻí áạò áạầẩá ạẫấ áéặả ẫấẻạĩợạùẫấ ẵặ ẫ8ầ áạỉ ẫềẫạẫíạộẫấíạịíạẫấáéặảẫấẻẫặả ặíạạẻíẫạốá0ũú !"$%&' (%)* +%*,++"-* %& /01% 2"01 3"0+45678%)*+%*,+19":&";"/01%6& +%?++@A 2>;B ;CD6 +%E6 %"01 +F +%.1G HIJKKLMN*'OK1PA+%Q&RS"76%T1G+U"A*V1 ;.1%G".W!"6.6$X+Y*Z:[A 2\]':'*A^ 6_'W&!"%`1%8%)*+%*,+1\a2["A&1GA*V1 ;CD6Gb88%c1G"Z";.86%&1%d1G6@*%e" 2F'1-*+=-1M fghijklimn ofgpqrstuv w'&GxA +y+6Z/01%1%@1$%U1GG"["%!1 +*^"76Z1'A2\1d;CD66%z1;&.1/>6&+%?+ +@A 2>RE'+=-1W@A :\1G7{Y*'1G2\19":&" +%E6Y*Z1|R!R\a2\;CD6A^/}1G8%)* +%*,+19":&"A~6R6A++=C[6+%E6Y*Z1| +@A2>1G&\"1"-AA!68%)*+%*,+QWWQ=76b %&6$%U1G $ A +%Q& +%_ +%*,+6%V1G +=\& 1GCD67+!"$%&' (%)* +%*,+ "-* %&.7/01% 2"01 3"0+456 +F +%.1G HIJKKL ;X1 +%.1G OJIJKOLM%U1G;C'2\& 1G%"-165*1%d1G /01%1%@1A^+%Q&8%C1G8%.8A~+=*a1%6.6+ƠW0+'"/"X1+=&1GA^7+ƠW0 6%*a1A^A~7/"X16%51G:'*A^M %"G"'1 A^2\+%"G"'11}A2"01;CD6+=`1%/\aRC[" R!1G wƯĐă"1|ă']MX+Y*Z]':'*A^ ;CD6+â1%+!"6.6+%";"AO|1PA:'*A^7 +êa +%Q& +%"G"'1 +F WT6 A^ ;X1 +%.1G OJIJKOL6W&:"1G R'+Q6_'+F1G/01% 1%@1M R1G+Q:+6%"J %&6ô":%Q=Q]'6++Q:+;V" 2["6.6+ƠW0ơ 2\+*RQ1++|+Q:+%&6ưđ3ư ;V"2["6.6/"X1;>1%WCD1GMđGC1G1G%' +%V1G$-2["8K7KM gàảãÂuvqÔuÂãá đG%"-165*1\a+*@1+%_6.61G*a-1+?6 6_' +*a-1 1GU1 QW:"1$"2< 4!& ;56 +=&1G 1G%"-165*a:"1%%67;B;CD66%y8+%*,1 6_'9";x1G4!&;566y86:~¹ºw/01% 2"013"0+456M 6G"Z/\"/.&6'A$X+$%U1G 6b]*1G;9+WD"â6%+=&1G2"066U1G/V+\"W"0* $%&'%61\aM fằẳẵ ắ F+%.1GHIJKKL;X1+%.1GOJIJKOL;B6b OL/01%1%@16&+%?++@A 2>;CD6A^7+=&1G ;bA^A~6b/01%1%@1LJ7Oơ7A^19" :&"6bHL/01%1%@17HơM ƠW0A^19":&" +P1GRc1+%Q&6.61PAM%;C'2\&8%@1+â6% +=&1G1G%"-165*1\aHL/01%1%@1A^19" :&"7/'& GxA J 1'A 7Jơ2\ O 1d 7ơM *^"+=*1G/`1%W\LH7J¦O7K +*^" Ồ|¿JM =&1G:VHL/01%1%@1/'1;c*RE $"X1 A^ 19":&";B 6b /01% 1%@1 8%Z" 6%*a1:'1GA^A~2`1%d1G$%b$%P1$ +%*,+M ƠW06%*a1A^A~W\7LơMV61W!" W\H/01%1%@1:;CD6;C'2\&8%@1+â6%7 /'&GxA K1'A 7Hơ2\H1d7OơM *^"+=*1G2>W\L+*^"O|JM 345467289 ++H9s3D4:CZbIb]^1HE-4;R3DC4J2N1;2>2=72=7RJ+2Dm j21;jb72OIL5 J2]1;79L:1;NOJF8a1;2=72=7@II@9M172=1J2M77E1;M8g5 iJj@9A7`5Jj2>Y-M8g5Mb1UM8g5[C:K8J>J2=72=7j2>JJ1I8M=M7M8g57]7YZ -M8g5[F\j2>J/8071LmJ+1;2ĂD72]1;jaYRV[F;:L89D2=72=7@II@9M172=1 J1J+7?12791;79L:1;NOJ128=21C:K8J>J2=72=7j2>JJ+IL5 J2]1;79L:1;NOJR YRP[F ÂrnÊÔƠ db7 5E YJ+ 2Dm j21; jb72O J2]1; 79L: 1;NOJCD= j285`J72§772J *+"'#8)9:6P'%#@''QR%S '(T U%0'()%& >HR/K'#8)9:6'(U%V%S 2W X76-#*Y%&-#B->*+""#H '#56 &67% O"n%&%&j%#Y%L)G`6 '#;'#E^' a6LL8%,- /0/d2Wa#6\E 'B"&6F"n%&>o%& 'g%# G`6G6C""#[% '#; '#E^'b)( "#$%& '( )%&*+"pq3d/rWsEA%#6U%0%U%"tE% A I#=%&"#67%#H %&]E%#6U%Gg'#_"n%&"#*7 '#? I#u%& >l%# >*+" >6\E % AW v7E >H -#*Y%&-#B-s)E-8'"H%#6\E*E>6? #Y% %w7Gg '#E^%'6C%#Y%G 'i)G7%'$'Lx >*+"%U%"tEW yz{|}~ #]E'#E^'%h6L)6"H'#?>*+"")6 h' -#*Y%&-#B-P'N @%'()%&>6\E'(lMC%# ")'#j''N GlG`6'P%#7%') %G #6CEDEF "7)We%"H%U%"tE9i%&'#%C N L %&"#67%#H %&]E%#6U%>?'(F 56"NE#6 "#[% )i6"#$%&'( )%&*+"I_'#+-% )"#) -#k#+-W } 6% "#N% '# %# "F Y% vWsvWm t" N%>&6'()%&DEB'(g%# '#$%&IU "B"9w 6CE";7%U%"tE% A }{ zĂÂÊÔÂƠƯĐƯăzâ"#7 7L67W êôơưđưđ34đưàảãĐ044Rá4VVW 234356789 ạzÂĂÂĂÂằÊÊ ẳ ƠƯƯĐăzâ"#7 7L6707"(6'6"7 (8G68ẵ)ắ8-698 6á ) )&6"7 L'E968L0 àả êôơưđưđ3 ƯĂ 4RcVá4Rc1W zÂẳẳĂÂĂÊÊẳẳÂẳ ÂƠạăz -7"')ắ 6%6 7 A6%G7L6G8LE(&8(A )% '#8 '(87' 8%')ắ8L)-#7&87 7"#7 7L67ặ â 98"798 )ắ"#7%&83àả 3ầẩđẫ3ƯấĂ J/ậá1/RW èzĂÂẳÂ}{ĂÊ ƠƯƯăz ẻ7-7()L")-6" "7(96) A)') A ắ)( 7"#7 7L67Wẽ3ầẩđẫéẹềẩđẫ3ấĂdV4á dVcW ểzễÊĂếẳẳÊ}ĂÂẳẳ ẳ ƠƯƯạăzs#)(7")L")-6"8L)-#7&)á A)') AW %6'67 8-8(68%"8ẵ6'#7%8ẵ7 ()7"#ắ)('#8 '(87' 8%' )ắ 7"#7 7L67W ầẩđẫ3 ạấĂ 4qdá4qJW ấzÂÊẳƠạểăzệE%9)- 6"7á '6)%âắ'8(ìA)') Aắ)(â"#7 7L67Ws)b))(a)' ')b)ỉàầẩđẫ0ạèƠấă0d/4qád/R/W zÔÂÊẳyĂễÊÊĂÊÂÊ ƠƯƯạăz(896"')(L)ắ)E'") 86%-7'68%'Lẵ6'# 7"#7 7L67'(87'89MA-%8E 7'6"96 7'6)%Wêôơ ưđưđẫ3Ăd1R4ád1RậW Đz}ÂĂÂĩĂẳÊzĂí ịƠạăzeE((8%'L'7'EL)ắ7%7%'6(8ắ E -()"89E(8 6% 7-7()L")-6" X8 8( A)') AW ầẩđẫéẹơò0ĂVVcVVậW ƯzÂÊ zÂẳẳĂÊÂễ zằÂĂ Êễế ẳÂƠạăzẻ7-7()L")-6"X8 8( ìA)') A7%9b)(ệE%9)- 6"7'6)%ắ)(ỏL)-#7&á 87 â"#7 7L676%e#6 9(8%Wẩđôõóẹôưđò ầẩđẫđ0ấ,Đ20d4cậád4VdW zĩÂịzĂÊễÂÂẳÂễĂ {ÂẳÊíz}ẳÂƠạạăzệ ) Ab)( ắE%9)- 6"7'6)% 7ắ'8(8L)-#7&)"7(96) A)') A ắ)(7"#7 7L67Wầẩđẫđ3ạĂ1dJá14RW 7 !!"#$ %&&'( ()%%)'* ((* +('&&%& &, )-)')) (+) )&' &.)/( &% 1234563789:34;829