{"id":20311,"date":"2023-04-14T17:55:15","date_gmt":"2023-04-14T10:55:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20311"},"modified":"2023-04-17T16:16:32","modified_gmt":"2023-04-17T09:16:32","slug":"quy-trinh-cat-dai-trang-ngang-trong-dieu-tri-ung-thu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/quy-trinh-cat-dai-trang-ngang-trong-dieu-tri-ung-thu\/","title":{"rendered":"Quy tr\u00ecnh c\u1eaft \u0111\u1ea1i tr\u00e0ng ngang trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0"},"content":{"rendered":"<p>C\u1eaft \u0111\u1ea1i tr\u00e0ng ngang \u0111\u01b0\u1ee3c th\u01b0\u1eddng th\u1ef1c hi\u1ec7n \u0111\u1ed1i v\u1edbi c\u00e1c u \u0111\u1ea1i tr\u00e0ng ngang, \u0111\u1ea1i tr\u00e0ng g\u00f3c l\u00e1ch ho\u1eb7c g\u00f3c gan. N\u1ebfu t\u1ed5n th\u01b0\u01a1ng n\u1eb1m g\u1ea7n m\u1ed9t trong hai g\u00f3c, th\u00ec n\u00ean th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng tr\u00e1i m\u1edf r\u1ed9ng ho\u1eb7c ph\u1ea3i m\u1edf r\u1ed9ng. M\u1ed9t ph\u1eabu thu\u1eadt c\u1eaft \u0111\u1ea1i tr\u00e0ng ngang n\u1ed9i soi th\u1ef1c s\u1ef1 \u0111\u00f2i h\u1ecfi ph\u1ea3i di \u0111\u1ed9ng c\u1ea3 g\u00f3c gan v\u00e0 l\u00e1ch, v\u1edbi vi\u1ec7c b\u1ea3o to\u00e0n ngu\u1ed3n cung c\u1ea5p m\u00e1u cho ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a \u0111\u1ea1i tr\u00e0ng.<br \/>\nC\u00f3 ba ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa:<\/p>\n<ul>\n<li>C\u1eaft \u0111\u1ea1i tr\u00e0ng ph\u1ea3i (u \u0111o\u1ea1n g\u1ea7n \u0111\u1ea1i tr\u00e0ng ngang)<\/li>\n<li>C\u1eaft \u0111\u1ea1i tr\u00e0ng tr\u00e1i (u \u0111o\u1ea1n xa \u0111\u1ea1i tr\u00e0ng ngang)<\/li>\n<li>C\u1eaft tr\u1ef1c ti\u1ebfp<\/li>\n<\/ul>\n<h2>1. L\u1eadp k\u1ebf ho\u1ea1ch tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/h2>\n<ul>\n<li>N\u1ed9i soi v\u00e0 \u0111\u00e1nh d\u1ea5u <a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ung-thu-dai-trang-nhung-dieu-can-biet\/\">u \u0111\u1ea1i tr\u00e0ng<\/a><\/li>\n<li>Ch\u1ee5p CT ng\u1ef1c, b\u1ee5ng, x\u01b0\u01a1ng ch\u1eadu n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u di c\u0103n<\/li>\n<li>Kh\u00e1ng nguy\u00ean CEA (Carcinoembryonic)<\/li>\n<li>Chu\u1ea9n b\u1ecb \u0111\u1ea1i tr\u00e0ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/li>\n<\/ul>\n<h2>2. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/h2>\n<h3>T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n<\/h3>\n<figure id=\"attachment_20324\" aria-describedby=\"caption-attachment-20324\" style=\"width: 282px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-20324 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tu-the-cat-dt-ns-282x300.png\" alt=\"T\u01b0 th\u1ebf c\u1eaft \u0111\u1ea1i tr\u00e0ng\" width=\"282\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tu-the-cat-dt-ns-282x300.png 282w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tu-the-cat-dt-ns-768x816.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tu-the-cat-dt-ns.png 781w\" sizes=\"(max-width: 282px) 100vw, 282px\" \/><figcaption id=\"caption-attachment-20324\" class=\"wp-caption-text\">T\u01b0 th\u1ebf c\u1eaft \u0111\u1ea1i tr\u00e0ng ngang n\u1ed9i soi<\/figcaption><\/figure>\n<h3>B\u01b0\u1edbc 1: \u0110\u1eb7t Trocar<\/h3>\n<p>K\u1ef9 thu\u1eadt Hassan \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 v\u00e0o Trocar r\u1ed1n. Sau khi v\u00e0o \u0111\u00e8n Trocar r\u1ed1n, th\u0103m d\u00f2 \u0111\u1ec3 lo\u1ea1i tr\u1eeb t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u, ru\u1ed9t. C\u00e1c Trocar c\u00f2n l\u1ea1i c\u00f3 th\u1ec3 \u0111\u1eb7t nh\u01b0 h\u00ecnh. C\u00f3 th\u1ec3 thay th\u1ebf 1 v\u1ecb tr\u00ed b\u1edfi Trocar 10 (12mm) \u0111\u1ec3 thu\u1eadn ti\u1ec7n cho vi\u1ec7c c\u1eaft n\u1ed1i.<\/p>\n<figure id=\"attachment_20325\" aria-describedby=\"caption-attachment-20325\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-20325 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/vi-tri-troca-300x287.png\" alt=\"V\u1ecb tr\u00ed \u0111\u1eb7t Trocar c\u1eaft \u0111\u1ea1i tr\u00e0ng\" width=\"300\" height=\"287\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/vi-tri-troca-300x287.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/vi-tri-troca.png 323w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20325\" class=\"wp-caption-text\">V\u1ecb tr\u00ed \u0111\u1eb7t Trocar<\/figcaption><\/figure>\n<h3>B\u01b0\u1edbc 2: Th\u00e1m s\u00e1t trong l\u00fac m\u1ed5<\/h3>\n<p>Th\u00e1m s\u00e1t \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 di c\u0103n ho\u1eb7c b\u1ec7nh l\u00fd kh\u00e1c. Sinh thi\u1ebft \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb t\u1ed5n th\u01b0\u01a1ng nghi ng\u1edd<\/p>\n<h3>B\u01b0\u1edbc 3: X\u00e1c \u0111\u1ecbnh b\u1ec7nh l\u00fd v\u00e0 x\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt<\/h3>\n<p>X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed kh\u1ed1i u v\u00e0 k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt. Th\u1ef1c hi\u1ec7n c\u1eaft \u0111\u1ea1i tr\u00e0ng v\u1edbi c\u1eaft m\u1ea1ch m\u00e1u g\u1ea7n g\u1ed1c, \u0111\u1ea3m b\u1ea3o n\u1ea1o v\u00e9t h\u1ea1ch \u0111\u1ea7y \u0111\u1ee7.<\/p>\n<p>Gi\u1ea3i ph\u1eabu v\u1ec1 m\u1ea1ch m\u00e1u \u0111\u1ea1i tr\u00e0ng v\u00e0 c\u00e1c bi\u1ebfn th\u1ec3 ph\u1ed5 bi\u1ebfn m\u1ea1ch m\u00e1u c\u1ea7n n\u1eafm r\u00f5. \u0110\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i th\u01b0\u1eddng b\u1eaft ngu\u1ed3n t\u1eeb h\u1ed3i-k\u1ebft tr\u00e0ng 85% tr\u01b0\u1eddng h\u1ee3p. Ngo\u00e0i ra, c\u00f3 55% b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u h\u01a1n 2 nh\u00e1nh \u0111\u1ea1i tr\u00e0ng gi\u1eefa.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20333 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dm-dt-300x173.png\" alt=\"\u0110\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng\" width=\"300\" height=\"173\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dm-dt-300x173.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dm-dt.png 713w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h3>B\u01b0\u1edbc 4: M\u1ee9c \u0111\u1ed9 c\u1eaft b\u1ecf<\/h3>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh ung th\u01b0 n\u1eb1m b\u00ean ph\u1ea3i m\u1ea1ch m\u00e1u gi\u1eefa, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i m\u1edf r\u1ed9ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. Y\u00eau c\u1ea7u l\u00e0 th\u1eaft to\u00e0n b\u1ed9 \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa, v\u00e0 th\u00f4ng n\u1ed1i gi\u1eefa \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng v\u00e0 \u0111o\u1ea1n xa \u0111\u1ea1i tr\u00e0ng ngang.<\/p>\n<p>N\u1ebfu kh\u1ed1i u n\u1eb1m g\u00f3c l\u00e1ch, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng m\u1edf r\u1ed9ng v\u1edbi th\u1eaft nh\u00e1nh \u0111\u1ea1i tr\u00e0ng gi\u1eefa, v\u00e0 c\u1ea7n di \u0111\u1ed9ng g\u00f3c gan \u0111\u1ec3 c\u00f3 th\u1ec3 n\u1ed1i \u0111\u1ea1i-\u0111\u1ea1i tr\u00e0ng ho\u1eb7c \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p kh\u1ed1i u n\u1eb1m gi\u1eefa \u0111\u1ea1i tr\u00e0ng ngang, c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt c\u1eaft \u0111\u1ea1i tr\u00e0ng ngang \u0111\u01a1n thu\u1ea7n.<\/p>\n<p>N\u1ebfu kh\u1ed1i u kh\u00f4ng r\u00f5 r\u00e0ng ngay l\u1eadp t\u1ee9c trong khi ph\u1eabu thu\u1eadt, c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<h3>B\u01b0\u1edbc 5: Ti\u1ebfp t\u1ee5c c\u1eaft \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa<\/h3>\n<p>\u0110\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa n\u00ean \u0111\u01b0\u1ee3c th\u1eaft s\u00e1t g\u1ea7n g\u1ed1c \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean, v\u00ec \u0111\u00e2y l\u00e0 \u0111\u01b0\u1eddng d\u1eabn l\u01b0u h\u1ea1ch ch\u00ednh cho c\u00e1c kh\u1ed1i u \u0111\u1ea1i tr\u00e0ng ngang.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20340 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dm-dt-1-300x260.png\" alt=\"\" width=\"300\" height=\"260\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dm-dt-1-300x260.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dm-dt-1.png 530w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>C\u00f3 th\u1ec3 c\u00f3 t\u1eeb 2-5 nh\u00e1nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa. M\u1ea1ch m\u00e1u \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng kh\u1ecfi m\u1ea1c treo b\u1eb1ng Harmonic. Vi\u1ec7c s\u1eed d\u1ee5ng clip hay Hem-o-lok trong khu v\u1ef1c n\u00e0y r\u1ea5t nguy hi\u1ec3m, ph\u00eda sau g\u1ea7n t\u00e1 tr\u00e0ng ho\u1eb7c c\u00e1c m\u1ea1ch m\u00e1u g\u1ea7n g\u00f3c Treitz.<\/p>\n<h3>B\u01b0\u1edbc 6: Th\u1eaft m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa<\/h3>\n<p>N\u1ebfu kh\u00f4ng c\u1ea7n c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i, vi\u1ec7c b\u00f3c t\u00e1ch c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u \u1edf kho\u1ea3ng tr\u1ed1ng ph\u00eda tr\u00ean \u0111\u1ed9ng m\u1ea1ch h\u1ed3i-k\u1ebft tr\u00e0ng. Sau \u0111\u00f3 \u0111i theo m\u1eb7t ph\u1eb3ng lane, \u0111\u1ebfn khi khi x\u00e1c \u0111\u1ecbnh r\u00f5 \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa. Sau \u0111\u00f3 k\u1eb9p Hem-o-lok v\u00e0 h\u00e0n m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa.<\/p>\n<p>Ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c b\u00f3c t\u00e1ch v\u1ec1 ph\u00eda g\u00f3c gan.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20347 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/buoc-ptdt-300x185.png\" alt=\"C\u1eaft \u0111\u1ea1i tr\u00e0ng\" width=\"300\" height=\"185\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/buoc-ptdt-300x185.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/buoc-ptdt.png 655w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h3>B\u01b0\u1edbc 7: C\u00e1ch ti\u1ebfp c\u1eadn t\u1eeb tr\u00ean xu\u1ed1ng: \u0111i v\u00e0o t\u00fai m\u1ea1c n\u1ed1i nh\u1ecf<\/h3>\n<p>M\u1ed9t s\u1ed1 ph\u1eabu thu\u1eadt vi\u00ean ti\u1ebfp c\u1eadn t\u1eeb tr\u00ean xu\u1ed1ng. V\u00ec c\u00e1c m\u1ea1ch m\u00e1u \u0111\u1ea1i tr\u00e0ng \u0111o\u1ea1n n\u00e0y th\u01b0\u1eddng ng\u1eafn, g\u1ea7n nhau v\u00e0 t\u00ednh ch\u1ea5t \u0111a d\u1ea1ng, n\u00ean ph\u1eabu thu\u1eadt vi\u00ean th\u1ea5y ph\u01b0\u01a1ng ph\u00e1p n\u00e0y d\u1ec5 nh\u1eadn di\u1ec7n h\u01a1n. Ngo\u00e0i ra b\u01b0\u1edbc c\u1eaft ngang l\u00e0 b\u01b0\u1edbc cu\u1ed1i c\u00f9ng trong ca ph\u1eabu thu\u1eadt, n\u1ebfu ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 cho ph\u00e9p th\u1eaft m\u1ea1ch h\u1edf.<\/p>\n<h3>B\u01b0\u1edbc 8: C\u1eaft b\u1ecf m\u1ea1c n\u1ed1i l\u1edbn<\/h3>\n<p>\u0110\u1ed1i v\u1edbi ung th\u01b0 \u0111\u1ea1i tr\u00e0ng ngang, m\u1ea1c n\u1ed1i l\u1edbn th\u01b0\u1eddng c\u1eaft b\u1ecf c\u00f9ng b\u1ec7nh ph\u1ea9m. M\u1ee9c \u0111\u1ed9 c\u1eaft b\u1ecf m\u1ea1c n\u1ed1i l\u1edbn c\u00f3 th\u1ec3 kh\u00e1c nhau tu\u1ef3 thu\u1ed9c v\u1ecb tr\u00ed kh\u1ed1i u. B\u1ea5t k\u1ef3 m\u1ea1c n\u1ed1i n\u00e0o g\u1eafn li\u1ec1n v\u1edbi kh\u1ed1i u n\u00ean \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf c\u00f9ng v\u1edbi kh\u1ed1i u, trong m\u1ea1c n\u1ed1i l\u1edbn c\u0169ng th\u01b0\u1eddng c\u00f3 h\u1ea1ch ho\u1eb7c ch\u1ee9a di c\u0103n. C\u1ea7n l\u01b0u \u00fd b\u1ea3o t\u1ed3n \u0111\u1ed9ng m\u1ea1ch v\u1ecb m\u1ea1c n\u1ed1i.<\/p>\n<p>B\u00e1c s\u0129 ph\u1eabu thu\u1eadt s\u1ebd s\u1eed d\u1ee5ng tay ph\u1ea3i \u0111\u1ec3 b\u1ed9c l\u1ed9 m\u1ea1c n\u1ed1i, x\u00e1c \u0111\u1ecbnh \u0111\u1ed9ng m\u1ea1ch d\u1ea1 d\u00e0y v\u00e0 n\u00e2ng<br \/>\nm\u1ea1c n\u1ed1i l\u00ean ph\u00eda tr\u01b0\u1edbc. Khi th\u00e0nh sau c\u1ee7a d\u1ea1 d\u00e0y l\u1ed9 ra, v\u00e0o t\u00fai m\u1ea1c n\u1ed1i nh\u1ecf. Tay ph\u1ea3i n\u00e2ng<br \/>\nm\u1ea1c n\u1ed1i l\u00ean \u0111\u1ee7 \u0111\u1ec3 nh\u00ecn th\u1ea5y \u0111\u1ed9ng m\u1ea1ch d\u1ea1 d\u00e0y v\u00e0 d\u1ea1 d\u00e0y, v\u00e0 tay tr\u00e1i c\u1ee7a ng\u01b0\u1eddi tr\u1ee3 gi\u00fap c\u00f3 th\u1ec3 di chuy\u1ec3n \u0111\u1ec3 n\u00e2ng m\u00e9p c\u1eaft ngang c\u1ee7a m\u1ea1c n\u1ed1i l\u00ean, k\u00e9o sang ph\u1ea3i.<\/p>\n<p>Khi b\u00f3c t\u00e1ch t\u1edbi g\u00f3c gan, c\u1ea7n ch\u00fa \u00fd tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 c\u1eaft t\u00fai m\u1eadt, m\u1ea1c n\u1ed1i l\u1edbn c\u00f3 th\u1ec3 d\u00ednh l\u00ean gan.<\/p>\n<h3>B\u01b0\u1edbc 9: Di \u0111\u1ed9ng g\u00f3c gan<\/h3>\n<p>G\u00f3c gan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c n\u00e2ng l\u00ean t\u1eeb ph\u00eda sau v\u00e0 gi\u1ea3i ph\u00f3ng.<\/p>\n<h3>B\u01b0\u1edbc 10: Di \u0111\u1ed9ng g\u00f3c l\u00e1ch<\/h3>\n<p>Sau khi di \u0111\u1ed9ng g\u00f3c gan, ph\u1eabu thu\u1eadt vi\u00ean di \u0111\u1ed9ng g\u00f3c l\u00e1ch. B\u00f3c t\u00e1ch b\u1eaft \u0111\u1ea7u \u1edf r\u00eca t\u1ef1 do c\u1ee7a m\u1ea1c n\u1ed1i, n\u01a1i m\u00e0 m\u1eb7t c\u1eaft ngang c\u1ee7a m\u1ea1c n\u1ed1i \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft tr\u01b0\u1edbc \u0111\u00f3. B\u1ea3o t\u1ed3n \u0111\u1ed9ng m\u1ea1ch v\u1ecb m\u1ea1c n\u1ed1i v\u00e0 t\u1ea7m nh\u00ecn m\u1eb7t sau d\u1ea1 d\u00e0y. Tay ph\u1ea3i c\u1eaft ngang m\u1ea1c n\u1ed1i b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng l\u01b0\u1ee1ng c\u1ef1c.<\/p>\n<p>\u1ede ph\u1ea7n b\u00ean, c\u1eaft m\u1ea1c Toldt \u0111\u1ec3 di \u0111\u1ed9ng \u0111\u1ee7 cho qu\u00e1 tr\u00ecnh c\u1eaft n\u1ed1i.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20354 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/utdt-249x300.png\" alt=\"c\u1eaft \u0111\u1ea1i tr\u00e0ng\" width=\"249\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/utdt-249x300.png 249w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/utdt.png 401w\" sizes=\"(max-width: 249px) 100vw, 249px\" \/><\/p>\n<h3>B\u01b0\u1edbc 11: C\u1eaft b\u1ecf t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi v\u00e0 nh\u00e1nh l\u00ean \u0111\u1ea1i tr\u00e0ng tr\u00e1i cho kh\u1ed1i u g\u00f3c l\u00e1ch<\/h3>\n<p>\u0110\u1ed1i v\u1edbi u g\u00f3c l\u00e1ch, ph\u1eabu thu\u1eadt b\u1eaft bu\u1ed9c th\u1eaft t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi th\u1eaft cao, g\u1ea7n b\u1edd d\u01b0\u1edbi tu\u1ef5.<\/p>\n<h3>B\u01b0\u1edbc 12: L\u1ea5y m\u1eabu b\u1ec7nh ph\u1ea9m ra b\u00ean ngo\u00e0i v\u00e0 n\u1ed1i \u0111\u1ea1i tr\u00e0ng<\/h3>\n<figure id=\"attachment_20358\" aria-describedby=\"caption-attachment-20358\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-20358 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/lay-benh-pham-300x176.png\" alt=\"C\u1eaft \u0111\u1ea1i tr\u00e0ng\" width=\"300\" height=\"176\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/lay-benh-pham-300x176.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/lay-benh-pham.png 481w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20358\" class=\"wp-caption-text\">L\u1ea5y b\u1ec7nh ph\u1ea9m<\/figcaption><\/figure>\n<p>T\u1ea1o m\u1ed9t mi\u1ec7ng n\u1ed1i l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng. Vi\u1ec7c th\u00f4ng n\u1ed1i th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ngo\u00e0i c\u01a1 th\u1ec3 th\u00f4ng qua m\u1ed9t v\u1ebft m\u1ed5 m\u1edf \u1edf \u0111\u01b0\u1eddng gi\u1eefa r\u1ed1n.<\/p>\n<p>M\u1ed9t \u0111\u01b0\u1eddng m\u1ed5 m\u1edf r\u1ed1n \u1edf gi\u1eefa \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 l\u1ea5y m\u1eabu b\u1ec7nh ph\u1ea9m v\u00e0 n\u1ed1i ngo\u00e0i c\u01a1 th\u1ec3. Sau khi \u0111\u1eb7t d\u1ee5ng c\u1ee5 b\u1ea3o v\u1ec7 v\u1ebft th\u01b0\u01a1ng, \u0111\u1ea1i tr\u00e0ng ngang di \u0111\u1ed9ng \u0111\u01b0\u1ee3c \u0111\u01b0a ra ngo\u00e0i.<\/p>\n<p>C\u00f3 th\u1ec3 t\u1ea1o ki\u1ec3u n\u1ed1i t\u1eadn-t\u1eadn theo ch\u1ee9c n\u0103ng, Stapler ho\u1eb7c kh\u00e2u n\u1ed1i th\u1ee7 c\u00f4ng. M\u1eabu b\u1ec7nh ph\u1ea9m \u0111\u01b0\u1ee3c g\u1eedi \u0111i \u0111\u1ec3 ki\u1ec3m tra t\u1ed5ng th\u1ec3 ho\u1eb7c \u0111\u01b0\u1ee3c ph\u1eabu t\u00edch ph\u00f2ng m\u1ed5 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o thu \u0111\u01b0\u1ee3c \u0111\u1ee7 ranh gi\u1edbi (5cm \u0111\u1ed1i v\u1edbi b\u1ec7nh ung th\u01b0).<\/p>\n<p>\u0110\u00f3ng v\u1ebft m\u1ed5 v\u00e0 c\u00e1c l\u1ed7 Trocar.<\/p>\n<p>Ngu\u1ed3n: B\u1ed9 Y t\u1ebf. Laparoscopic Colectomy: A Step by Step Guide<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u1eaft \u0111\u1ea1i tr\u00e0ng ngang \u0111\u01b0\u1ee3c th\u01b0\u1eddng th\u1ef1c hi\u1ec7n \u0111\u1ed1i v\u1edbi c\u00e1c u \u0111\u1ea1i tr\u00e0ng ngang, \u0111\u1ea1i tr\u00e0ng g\u00f3c l\u00e1ch ho\u1eb7c g\u00f3c gan. N\u1ebfu t\u1ed5n th\u01b0\u01a1ng n\u1eb1m g\u1ea7n m\u1ed9t trong hai g\u00f3c, th\u00ec n\u00ean th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng tr\u00e1i m\u1edf r\u1ed9ng ho\u1eb7c ph\u1ea3i m\u1edf r\u1ed9ng. M\u1ed9t ph\u1eabu thu\u1eadt c\u1eaft \u0111\u1ea1i tr\u00e0ng ngang [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Quy tr\u00ecnh c\u1eaft \u0111\u1ea1i tr\u00e0ng ngang trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u1eaft \u0111\u1ea1i tr\u00e0ng ngang n\u1ed9i soi \u0111\u01b0\u1ee3c th\u01b0\u1eddng th\u1ef1c hi\u1ec7n \u0111\u1ed1i v\u1edbi c\u00e1c u \u0111\u1ea1i tr\u00e0ng ngang, \u0111\u1ea1i tr\u00e0ng g\u00f3c l\u00e1ch ho\u1eb7c g\u00f3c gan.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quy tr\u00ecnh c\u1eaft \u0111\u1ea1i tr\u00e0ng ngang trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 - 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