{"id":23799,"date":"2023-04-18T12:10:19","date_gmt":"2023-04-18T05:10:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23799"},"modified":"2023-04-18T13:00:27","modified_gmt":"2023-04-18T06:00:27","slug":"tan-soi-duong-mat-qua-da-bang-laser","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tan-soi-duong-mat-qua-da-bang-laser\/","title":{"rendered":"T\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser"},"content":{"rendered":"

S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt<\/a> l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u01b0\u1eddng m\u1eadt, trong \u0111\u00f3 c\u00e1c t\u1ea1p ch\u1ea5t b\u00e1m l\u1ea1i v\u00e0 t\u1ea1o th\u00e0nh nh\u1eefng h\u1ea1t s\u1ecfi. S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu nh\u01b0 \u0111au b\u1ee5ng, \u0111au th\u01b0\u1ee3ng v\u1ecb, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt, vi\u00eam t\u00fai m\u1eadt,… \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng, trong \u0111\u00f3 ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser (Laparoscopic Laser Common Bile Duct Exploration – LCBDE) l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ti\u00ean ti\u1ebfn v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/strong><\/p>\n

\"T\u00e1n
T\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c b\u00e1c s\u0129 b\u1ec7nh vi\u1ec7n VInmec<\/figcaption><\/figure>\n

1. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt hi\u1ec7n nay<\/h2>\n

Hi\u1ec7n nay, c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong th\u1ef1c h\u00e0nh, bao g\u1ed3m:<\/p>\n

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  • Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt b\u1eb1ng s\u00f3ng si\u00eau \u00e2m<\/strong>: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m \u0111\u1ec3 ph\u00e1 v\u1ee1 c\u00e1c h\u1ea1t s\u1ecfi th\u00e0nh c\u00e1c m\u1ea3nh nh\u1ecf h\u01a1n v\u00e0 d\u1ec5 d\u00e0ng \u0111\u00e0o th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3. Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt b\u1eb1ng s\u00f3ng si\u00eau \u00e2m (ESWL) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi t\u1eeb \u0111\u01b0\u1eddng m\u1eadt b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m cao t\u1ea7n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ecfi c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 kh\u00f4ng g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt. Ph\u01b0\u01a1ng ph\u00e1p ESWL th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ecfi c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 kh\u00f4ng g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt. Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng hi\u1ec7u qu\u1ea3 cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ecfi c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn ho\u1eb7c g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt. Ngo\u00e0i ra, ESWL c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 \u0111au b\u1ee5ng, ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan xung quanh. Do \u0111\u00f3, tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ESWL, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ef9 l\u01b0\u1ee1ng t\u1eeb b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ecfi v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/li>\n
  • N\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng ERCP<\/strong>: N\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt y t\u1ebf s\u1eed d\u1ee5ng \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng m\u1eadt t\u1ee5y v\u00e0 \u0111\u01b0\u1eddng m\u1eadt. ERCP th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t thi\u1ebft b\u1ecb n\u1ed9i soi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o qua mi\u1ec7ng, th\u1ef1c qu\u1ea3n v\u00e0 d\u1ea1 d\u00e0y \u0111\u1ec3 truy c\u1eadp \u0111\u1ebfn \u0111\u01b0\u1eddng m\u1eadt v\u00e0 t\u1ee5y. Ph\u01b0\u01a1ng ph\u00e1p ERCP ng\u01b0\u1ee3c d\u00f2ng l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt ti\u00ean ti\u1ebfn, cho ph\u00e9p b\u00e1c s\u0129 ti\u1ebfp c\u1eadn \u0111\u1ebfn c\u00e1c v\u1ecb tr\u00ed kh\u00f3 ti\u1ebfp c\u1eadn c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt v\u00e0 t\u1ee5y. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nh\u01b0 s\u1ecfi m\u1eadt, vi\u00eam m\u1eadt, ung th\u01b0 m\u1eadt, ung th\u01b0 t\u1ee5y v\u00e0 c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng m\u1eadt t\u1ee5y. Tuy nhi\u00ean, ERCP ng\u01b0\u1ee3c d\u00f2ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng, vi\u00eam t\u1ee5y, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c t\u1ee5y. Do \u0111\u00f3, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 theo d\u00f5i ch\u1eb7t ch\u1ebd trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt n\u00e0y.<\/li>\n
  • Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser<\/strong>: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng tia laser \u0111\u1ec3 ph\u00e1 v\u1ee1 c\u00e1c h\u1ea1t s\u1ecfi th\u00e0nh c\u00e1c m\u1ea3nh nh\u1ecf h\u01a1n v\u00e0 d\u1ec5 d\u00e0ng \u0111\u00e0o th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3. Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser (Laparoscopic Laser Common Bile Duct Exploration – LCBDE) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u00ean ti\u1ebfn v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng laser \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt.<\/li>\n<\/ul>\n

    C\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt n\u00e0y \u0111\u1ec1u c\u00f3 \u01b0u \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf ri\u00eang, t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3, c\u00e1c chuy\u00ean gia s\u1ebd l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n.<\/p>\n

    2. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser<\/h2>\n

    Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt, trong \u0111\u00f3 s\u1eed d\u1ee5ng tia laser \u0111\u1ec3 ph\u00e1 v\u1ee1 c\u00e1c h\u1ea1t s\u1ecfi th\u00e0nh nh\u1eefng m\u1ea3nh nh\u1ecf h\u01a1n, sau \u0111\u00f3 c\u00e1c m\u1ea3nh s\u1ecfi n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3 t\u1ef1 nhi\u00ean. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n.<\/p>\n

    D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u01b0u \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser:<\/p>\n

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    • Kh\u00f4ng x\u00e2m l\u1ea5n: Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt n\u00ean kh\u00f4ng g\u00e2y ra c\u00e1c v\u1ebft th\u01b0\u01a1ng hay s\u1eb9o l\u1edbn, gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 gi\u1ea3m \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n.<\/li>\n
    • \u00a0Hi\u1ec7u qu\u1ea3: Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser l\u00e0 ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1edbi nh\u1eefng lo\u1ea1i s\u1ecfi l\u1edbn ho\u1eb7c kh\u00f3 ti\u1ebfp c\u1eadn.<\/li>\n
    • Th\u1eddi gian h\u1ed3i ph\u1ee5c nhanh: Sau ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng ngay sau \u0111\u00f3 v\u00e0 th\u1eddi gian ph\u1ee5c h\u1ed3i s\u1ebd nhanh h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/li>\n
    • Kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn: Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser kh\u00f4ng g\u00e2y ra \u0111au \u0111\u1edbn nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c, gi\u00fap b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i h\u01a1n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n
    • An to\u00e0n: Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 kinh nghi\u1ec7m, \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n.<\/li>\n
    • Cho ph\u00e9p lo\u1ea1i b\u1ecf s\u1ecfi trong c\u1ea3 \u0111\u01b0\u1eddng m\u1eadt v\u00e0 t\u00fai m\u1eadt, gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u00e1i ph\u00e1t s\u1ecfi.<\/li>\n
    • Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao v\u00e0 gi\u00fap b\u00e1c s\u0129 quan s\u00e1t v\u00e0 x\u1eed l\u00fd s\u1ecfi m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3.<\/li>\n<\/ul>\n

      Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p LCBDE y\u00eau c\u1ea7u k\u1ef9 thu\u1eadt cao v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c b\u00e1c s\u0129 gi\u00e0u kinh nghi\u1ec7m. Do \u0111\u00f3, tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p LCBDE, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ef9 l\u01b0\u1ee1ng t\u1eeb b\u00e1c s\u0129 v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ecfi \u0111\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

      3. T\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser<\/p>\n

      K\u0129 thu\u1eadt t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da s\u1eed d\u1ee5ng m\u1ed9t \u0111\u01b0\u1eddng r\u1ea1ch nh\u1ecf kho\u1ea3ng 3-5 mm t\u1eeb b\u00ean ngo\u00e0i c\u01a1 th\u1ec3, th\u00f4ng qua \u0111\u00f3 \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 t\u1ee5c t\u00e1n s\u1ecfi trong gan m\u1ed9t c\u00e1ch kh\u00f4ng x\u00e2m l\u1ea5n. B\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 nh\u01b0 m\u00e1y ch\u1ee5p m\u1ea1ch s\u1ed1 h\u00f3a DSA, m\u00e1y si\u00eau \u00e2m trong m\u1ed5 v\u00e0 camera n\u1ed9i soi \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn qu\u00e1 tr\u00ecnh t\u00e1n s\u1ecfi v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n.<\/p>\n

      – Sau khi t\u1ea1o \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng h\u1ea7m nh\u1ecf v\u00e0o \u0111\u01b0\u1eddng m\u1eadt trong gan, m\u00e1y t\u00e1n s\u1ecfi laser s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1 v\u1ee1 c\u00e1c h\u1ea1t s\u1ecfi th\u00e0nh c\u00e1c m\u1ea3nh nh\u1ecf h\u01a1n v\u00e0 d\u1ec5 d\u00e0ng \u0111\u00e0o th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3. Trong qu\u00e1 tr\u00ecnh n\u00e0y, b\u1ed9 nong r\u1ed9ng s\u1ebd gi\u00fap b\u00e1c s\u0129 ki\u1ec3m tra to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng \u0111\u01b0\u1eddng m\u1eadt trong gan bao g\u1ed3m \u1ed1ng gan ph\u1ea3i, \u1ed1ng gan tr\u00e1i, to\u00e0n b\u1ed9 \u1ed1ng m\u1eadt ch\u1ee7 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng t\u1ea5t c\u1ea3 c\u00e1c h\u1ea1t s\u1ecfi \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00e1n h\u1ebft v\u00e0 kh\u00f4ng c\u00f2n s\u1ecfi n\u00e0o c\u00f2n l\u1ea1i.<\/p>\n

      – C\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p LCBDE bao g\u1ed3m:<\/p>\n

        \n
      • 1. Ti\u00eam thu\u1ed1c g\u00e2y t\u00ea v\u00e0 \u0111\u01b0a b\u1ec7nh nh\u00e2n v\u00e0o trong t\u00ecnh tr\u1ea1ng ng\u1ee7 s\u00e2u.<\/li>\n
      • 2. Th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ee5p DSA \u0111\u1ec3 th\u0103m d\u00f2 \u0111\u01b0\u1eddng m\u1eadt.<\/li>\n
      • 3. S\u1eed d\u1ee5ng \u0111\u1ea7u laser \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt.<\/li>\n
      • 4. Sau khi s\u1ecfi b\u1ecb ph\u00e1 v\u1ee1, ch\u00fang s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a ra ngo\u00e0i qua c\u00e1c \u1ed1ng d\u1eabn.<\/li>\n
      • 5. K\u1ebft th\u00fac qu\u00e1 tr\u00ecnh v\u00e0 b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u00f2ng h\u1ed3i s\u1ee9c.<\/li>\n<\/ul>\n

        Qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i sau ph\u01b0\u01a1ng ph\u00e1p LCBDE th\u01b0\u1eddng kh\u00e1 nhanh ch\u00f3ng v\u00e0 \u00edt \u0111au \u0111\u1edbn. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong v\u00f2ng 1-2 ng\u00e0y sau khi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p n\u00e0y v\u00e0 c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i c\u00f4ng vi\u1ec7c trong v\u00f2ng 1-2 tu\u1ea7n.<\/p>\n

        T\u00f3m l\u1ea1i, t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3, an to\u00e0n v\u00e0 \u00edt \u0111au \u0111\u1edbn. Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng, gi\u00fap gi\u1ea3m \u0111au \u0111\u1edbn, nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 th\u1eddi gian ph\u1ee5c h\u1ed3i, mang l\u1ea1i l\u1ee3i \u00edch l\u1edbn cho b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. B\u1ec7nh nh\u00e2n c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ph\u00f9 h\u1ee3p nh\u1ea5t.<\/p>\n","protected":false},"excerpt":{"rendered":"

        S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u01b0\u1eddng m\u1eadt, trong \u0111\u00f3 c\u00e1c t\u1ea1p ch\u1ea5t b\u00e1m l\u1ea1i v\u00e0 t\u1ea1o th\u00e0nh nh\u1eefng h\u1ea1t s\u1ecfi. S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu nh\u01b0 \u0111au b\u1ee5ng, \u0111au th\u01b0\u1ee3ng v\u1ecb, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nT\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng laser<\/title>\n<meta name=\"description\" content=\"\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng, trong \u0111\u00f3 ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qua da b\u1eb1ng ...\" \/>\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\" 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