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Hospitals perform urologic surgeries

Update: June, 26/2013 - 08:48
Surgeons on duty at the HCM City-based Binh Dan Hospital, where doctors are able to provide bladder surgery. Over 1,000 patients have had some kind of bladder augmentation and substitution cystoplasty and reconstruction at the hospital during the last 30 years. — VNA/VNS Photo The Anh

HCM CITY(VNS)— Many hospitals in Viet Nam have refined their surgical techniques over the last few decades in the treatment of bladder cancer, doctors said at a recent workshop held in HCM City.

Hospitals, for example, are now capable of performing bladder cystoplasty, a surgical repair of a defect in the urinary bladder, and reconstruction of the bladder, on patients with cancer.

Bladder cancer is one of the most common urologic cancers, with the highest recurrence rate of any malignancy.

People who smoke and work in the textile field, especially dyeing factories and lacquer facilities, have a high risk of getting bladder cancer, according to Professor Vu Le Chuyen, chairman of the Viet Nam Urology and Nephrology Association.

Chuyen spoke at a workshop on bladder cystoplasty and reconstruction held by HCM City-based Binh Dan Hospital, where he is deputy director.

Several kinds of surgical techniques have been used over the years, but they have been refined in recent years, with higher patient survival rates and fewer complications.

Since 1961, the use of intestines, for example, especially the ileum, for augmentation and substitution cystoplasty, has been commonly used in the country, Chuyen said.

Laparoscopic surgeries have also been used in bladder augmentation cystoplasty and reconstruction since 2008.

More than 1,000 patients have had some kind of bladder augmentation and substitution cystoplasty and reconstruction at Binh Dan Hospital in the last 30 years, Chuyen said.

At the workshop, a team of researchers working with the hospital's Urologic Department B presented a study on augmentation cystoplasty and its efficacy and its complications among 62 patients over a five-year period.

The study showed that augmentation cystoplasty is a simple procedure and has fewer complications than other procedures.

Another team, including doctors at Binh Dan Hospital's Urologic Department C and HCM City University of Medicine and Pharmacy's Urologic Surgery Faculty, presented research results on laparocopic radical cystoplasty for bladder cancer.

With this safe and effective technique, this is the standard treatment of bladder cancer that invades muscles.

Laparoscopic augmentation ileocystoplasty, the surgical reconstruction of the bladder using an isolated intestinal segment to augment bladder capacity, also has been performed on tuberculosis-contracted bladder cancer by doctors at Binh Dan Hospital's Department of Urology B and C since 2005.

It is feasible, safe and has satisfactory short-term functional and radiological outcomes, they said.

Doctors at Hue Central Hospital and Hue University of Medicine and Pharmacy in the central region also presented the results of prostate-sparing cystectomy and ileum neobladder reconstruction for treatment of invasive bladder cancer.

Compared to radical cystectomy, cystectomy with preservation of the prostate is not associated with increased morbidity and improves functional results as well as erectile function.

Dr Dao Quang Oanh, the former head of Binh Dan Hospital's Urologic Department B, said that ileum was the best material and should be used whenever possible.

At the workshop, Nguyen Tan Binh, head of HCM City's Department of Health, urged medical establishments like Binh Dan Hospital to work with Pham Ngoc Thach Medicine University to offer training in state-of-the-art surgical techniques for bladder-cancer treatment. —VNS

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