{"id":6627,"date":"2026-04-16T12:15:27","date_gmt":"2026-04-16T05:15:27","guid":{"rendered":"https:\/\/bvnguyentrai.org.vn\/?p=6627"},"modified":"2026-04-16T12:34:26","modified_gmt":"2026-04-16T05:34:26","slug":"benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap","status":"publish","type":"post","link":"https:\/\/bvnguyentrai.org.vn\/en\/benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap\/","title":{"rendered":"B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i l\u00e0m ch\u1ee7 k\u1ef9 thu\u1eadt n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 c\u00e1c u \u1ed1ng ti\u00eau h\u00f3a ph\u1ee9c t\u1ea1p"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">M\u1ee5c l\u1ee5c<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap\/#Benh_vien_Nguyen_Trai_lam_chu_ky_thuat_noi_soi_hien_dai_dieu_tri_hieu_qua_cac_u_ong_tieu_hoa_phuc_tap\" >B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i l\u00e0m ch\u1ee7 k\u1ef9 thu\u1eadt n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 c\u00e1c u \u1ed1ng ti\u00eau h\u00f3a ph\u1ee9c t\u1ea1p<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap\/#Cat_u_nhu_Vater_qua_noi_soi_Endoscopic_Papillectomy_Giai_phap_thay_the_phau_thuat_xam_lan\" >C\u1eaft u nh\u00fa Vater qua n\u1ed9i soi (Endoscopic Papillectomy): Gi\u1ea3i ph\u00e1p thay th\u1ebf ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap\/#Cat_u_noi_tiet_than_kinh_truc_trang_NET_bang_ky_thuat_noi_soi_boc_tach_duoi_niem_mac_ESD\" >C\u1eaft u n\u1ed9i ti\u1ebft th\u1ea7n kinh tr\u1ef1c tr\u00e0ng (NET) b\u1eb1ng k\u1ef9 thu\u1eadt n\u1ed9i soi b\u00f3c t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD)<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1 style=\"text-align: center;\"><span class=\"ez-toc-section\" id=\"Benh_vien_Nguyen_Trai_lam_chu_ky_thuat_noi_soi_hien_dai_dieu_tri_hieu_qua_cac_u_ong_tieu_hoa_phuc_tap\"><\/span>B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i l\u00e0m ch\u1ee7 k\u1ef9 thu\u1eadt n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 c\u00e1c u \u1ed1ng ti\u00eau h\u00f3a ph\u1ee9c t\u1ea1p<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div class=\"detail_descript\">\n<p>T\u1ea1i h\u1ed9i th\u1ea3o khoa h\u1ecdc \u201cC\u1eadp nh\u1eadt ti\u1ebfn b\u1ed9 c\u1ee7a n\u1ed9i soi trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb u \u1ed1ng ti\u00eau h\u00f3a\u201d do B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i t\u1ed5 ch\u1ee9c ng\u00e0y 15\/4\/2026, BS.CK2 Nguy\u1ec5n \u0110\u1ee9c Th\u00f4ng \u0111\u00e3 tr\u00ecnh b\u00e0y nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc trong can thi\u1ec7p n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb u nh\u00fa Vater v\u00e0 u n\u1ed9i ti\u1ebft th\u1ea7n kinh (NET) tr\u1ef1c tr\u00e0ng. Th\u00f4ng qua hai ca l\u00e2m s\u00e0ng \u0111i\u1ec3n h\u00ecnh, b\u00e1o c\u00e1o \u0111\u00e3 minh ch\u1ee9ng cho xu h\u01b0\u1edbng chuy\u1ec3n d\u1ecbch t\u1eeb ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n sang n\u1ed9i soi can thi\u1ec7p \u00edt sang ch\u1ea5n, gi\u00fap gi\u1ea3m t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian h\u1ed3i ph\u1ee5c cho b\u1ec7nh nh\u00e2n.<\/p>\n<\/div>\n<div class=\"detail_block\">\n<h2><span class=\"ez-toc-section\" id=\"Cat_u_nhu_Vater_qua_noi_soi_Endoscopic_Papillectomy_Giai_phap_thay_the_phau_thuat_xam_lan\"><\/span>C\u1eaft u nh\u00fa Vater qua n\u1ed9i soi (Endoscopic Papillectomy): Gi\u1ea3i ph\u00e1p thay th\u1ebf ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>BS.CK2 Nguy\u1ec5n \u0110\u1ee9c Th\u00f4ng &#8211; Tr\u01b0\u1edfng khoa N\u1ed9i soi, B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i tr\u00ecnh b\u00e0y tr\u01b0\u1eddng h\u1ee3p m\u1ed9t b\u1ec7nh nh\u00e2n n\u1eef, 70 tu\u1ed5i, nh\u1eadp vi\u1ec7n v\u1edbi tri\u1ec7u ch\u1ee9ng kh\u00f3 ti\u00eau k\u00e9o d\u00e0i, kh\u00f4ng \u0111au b\u1ee5ng v\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0ng da.<\/p>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 si\u00eau \u00e2m b\u1ee5ng ban \u0111\u1ea7u \u0111\u1ec1u cho k\u1ebft qu\u1ea3 b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean, qua n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (NSDD), c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ph\u00e1t hi\u1ec7n m\u1ed9t kh\u1ed1i u t\u1ea1i v\u00f9ng b\u00f3ng Vater.<\/p>\n<p>Ngay sau \u0111\u00f3, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u1ea1i b\u1eb1ng m\u00e1y soi nghi\u00eang (duodenoscope), gi\u00fap quan s\u00e1t r\u00f5 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng I-s t\u1ea1i v\u00f9ng nh\u00fa Vater v\u1edbi k\u00edch th\u01b0\u1edbc kho\u1ea3ng 20mm, b\u1ec1 m\u1eb7t \u0111\u1ec1u v\u00e0 gi\u1edbi h\u1ea1n r\u00f5.<\/p>\n<p>K\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh l\u00fd (GPBL) sinh thi\u1ebft x\u00e1c \u0111\u1ecbnh \u0111\u00e2y l\u00e0 u tuy\u1ebfn \u1ed1ng nh\u00e1nh v\u1edbi ngh\u1ecbch s\u1ea3n (lo\u1ea1n s\u1ea3n) \u0111\u1ed9 th\u1ea5p. Theo tr\u00ecnh t\u1ef1 di\u1ec5n ti\u1ebfn t\u1eeb u tuy\u1ebfn \u0111\u1ebfn ung th\u01b0 (adenoma-carcinoma sequence), c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o c\u1ea7n lo\u1ea1i b\u1ecf s\u1edbm \u0111\u1ec3 ng\u0103n ng\u1eeba chuy\u1ec3n \u00e1c t\u00ednh.<\/p>\n<figure class=\"image\"><img fetchpriority=\"high\" decoding=\"async\" class=\"\" src=\"https:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/04\/69df8028ab16e.jpg\" width=\"1044\" height=\"696\" \/><figcaption>Theo BS.CK2 Nguy\u1ec5n \u0110\u1ee9c Th\u00f4ng, c\u1eaft u b\u00f3ng Vater qua n\u1ed9i soi (Endoscopic Papillectomy) l\u00e0 gi\u1ea3i ph\u00e1p can thi\u1ec7p \u00edt x\u00e2m l\u1ea5n gi\u00fap lo\u1ea1i b\u1ecf tri\u1ec7t \u0111\u1ec3 u tuy\u1ebfn nh\u00fa, ng\u0103n ng\u1eeba ti\u1ebfn tri\u1ec3n ung th\u01b0 v\u00e0 gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a bi\u1ebfn ch\u1ee9ng so v\u1edbi ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng<\/figcaption><\/figure>\n<p>V\u1ec1 chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n c\u1eaft u nh\u00fa qua n\u1ed9i soi (Endoscopic Papillectomy). Th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh trong 30 ph\u00fat v\u1edbi c\u00e1c b\u01b0\u1edbc k\u1ef9 thu\u1eadt chu\u1ea9n x\u00e1c:<\/p>\n<p>&#8211; S\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng th\u00f2ng l\u1ecdng (snare) \u0111\u01a1n c\u1ef1c ti\u00eau chu\u1ea9n \u0111\u1ec3 b\u1eaft tr\u1ecdn kh\u1ed1i u.<\/p>\n<p>&#8211; S\u1eed d\u1ee5ng m\u00e1y c\u1eaft \u0111\u1ed1t ERBE VIO 200D v\u1edbi ch\u1ebf \u0111\u1ed9 Endocut Q (effect 3, cut duration 1, interval 6).<\/p>\n<p>&#8211; \u0110\u1eb7t stent t\u1ee5y d\u1ef1 ph\u00f2ng: \u0110\u00e2y l\u00e0 b\u01b0\u1edbc then ch\u1ed1t gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 vi\u00eam t\u1ee5y c\u1ea5p sau th\u1ee7 thu\u1eadt v\u00e0 ng\u0103n ng\u1eeba ch\u00edt h\u1eb9p nh\u00fa v\u1ec1 sau.<\/p>\n<p>K\u1ebft qu\u1ea3 h\u1eadu ph\u1eabu r\u1ea5t kh\u1ea3 quan. B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng, ch\u1ec9 s\u1ed1 Amylase m\u00e1u t\u0103ng nh\u1eb9 trong ng\u00e0y \u0111\u1ea7u v\u00e0 nhanh ch\u00f3ng tr\u1edf v\u1ec1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng v\u00e0o ng\u00e0y th\u1ee9 3. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u00e0o ng\u00e0y th\u1ee9 4.<\/p>\n<p>K\u1ebft qu\u1ea3 GPBL b\u1ec7nh ph\u1ea9m sau c\u1eaft x\u00e1c \u0111\u1ecbnh di\u1ec7n c\u1eaft \u00e2m t\u00ednh (R0), m\u00f4 u c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ngh\u1ecbch s\u1ea3n \u0111\u1ed9 th\u1ea5p v\u1edbi c\u00e1c t\u1ebf b\u00e0o tr\u1ee5 cao x\u1ebfp h\u00e0ng r\u00e0o. Sau 6 th\u00e1ng theo d\u00f5i, v\u1ebft s\u1eb9o l\u00e0nh t\u1ed1t, kh\u00f4ng ghi nh\u1eadn u t\u1ed3n d\u01b0 hay t\u00e1i ph\u00e1t.<\/p>\n<p>B\u00e1o c\u00e1o nh\u1ea5n m\u1ea1nh, c\u1eaft nh\u00fa qua n\u1ed9i soi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u00e0nh t\u00ednh ho\u1eb7c ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm ch\u01b0a x\u00e2m l\u1ea5n s\u00e2u v\u00e0o \u1ed1ng m\u1eadt &#8211; t\u1ee5y.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cat_u_noi_tiet_than_kinh_truc_trang_NET_bang_ky_thuat_noi_soi_boc_tach_duoi_niem_mac_ESD\"><\/span>C\u1eaft u n\u1ed9i ti\u1ebft th\u1ea7n kinh tr\u1ef1c tr\u00e0ng (NET) b\u1eb1ng k\u1ef9 thu\u1eadt n\u1ed9i soi b\u00f3c t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ca l\u00e2m s\u00e0ng th\u1ee9 hai t\u1eadp trung v\u00e0o lo\u1ea1i u \u00e1c t\u00ednh \u0111ang c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng m\u1ea1nh m\u1ebd trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y: U n\u1ed9i ti\u1ebft th\u1ea7n kinh tr\u1ef1c tr\u00e0ng (Rectal NETs).<\/p>\n<p>B\u1ec7nh nh\u00e2n l\u00e0 m\u1ed9t ph\u1ee5 n\u1eef 55 tu\u1ed5i, ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng t\u00ecnh c\u1edd qua n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng t\u1ea7m so\u00e1t.<\/p>\n<p>H\u00ecnh \u1ea3nh n\u1ed9i soi cho th\u1ea5y m\u1ed9t kh\u1ed1i u d\u01b0\u1edbi ni\u00eam m\u1ea1c t\u1ea1i tr\u1ef1c tr\u00e0ng, k\u00edch th\u01b0\u1edbc kho\u1ea3ng 10mm, n\u1eb1m c\u00e1ch r\u00eca h\u1eadu m\u00f4n 11cm. Kh\u1ed1i u c\u00f3 m\u1eadt \u0111\u1ed9 ch\u1eafc, di \u0111\u1ed9ng, b\u1ec1 m\u1eb7t l\u00e1ng v\u00e0 c\u00f3 m\u00e0u v\u00e0ng nh\u1ea1t \u0111\u1eb7c tr\u01b0ng. Qua quan s\u00e1t d\u01b0\u1edbi \u00e1nh s\u00e1ng NBI, c\u00e1c b\u00e1c s\u0129 ghi nh\u1eadn ki\u1ec3u pit tr\u00f2n v\u00e0 nghi ng\u1edd l\u00e0 NEN (Neuroendocrine Neoplasms).<\/p>\n<p>\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c \u0111\u1ed9 s\u00e2u x\u00e2m l\u1ea5n v\u00e0 lo\u1ea1i tr\u1eeb di c\u0103n h\u1ea1ch, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p MRI b\u1ee5ng ch\u1eadu v\u00e0 n\u1ed9i soi si\u00eau \u00e2m (EUS) tr\u01b0\u1edbc khi can thi\u1ec7p.<\/p>\n<figure class=\"image\"><img decoding=\"async\" class=\"\" src=\"https:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/04\/69df805230f81.jpg\" width=\"1046\" height=\"697\" \/><figcaption>BS.CK2 Nguy\u1ec5n \u0110\u1ee9c Th\u00f4ng cho bi\u1ebft, k\u1ef9 thu\u1eadt n\u1ed9i soi b\u00f3c t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD) gi\u00fap \u0111i\u1ec1u tr\u1ecb an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 u n\u1ed9i ti\u1ebft th\u1ea7n kinh tr\u1ef1c tr\u00e0ng (Rectal NET) giai \u0111o\u1ea1n s\u1edbm, \u0111\u1ea3m b\u1ea3o di\u1ec7n c\u1eaft s\u1ea1ch kh\u1ed1i u v\u00e0 b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng c\u01a1 quan cho b\u1ec7nh nh\u00e2n<\/figcaption><\/figure>\n<p>BS.CK2 Nguy\u1ec5n \u0110\u1ee9c Th\u00f4ng cho bi\u1ebft, \u00ea-k\u00edp \u0111\u00e3 l\u1ef1a ch\u1ecdn k\u1ef9 thu\u1eadt n\u1ed9i soi b\u00f3c t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD) \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u1eaft tr\u1ecdn kh\u1ed1i u (R0) v\u00ec c\u00e1c kh\u1ed1i NET tr\u1ef1c tr\u00e0ng d\u00f9 nh\u1ecf nh\u01b0ng v\u1eabn ti\u1ec1m \u1ea9n nguy c\u01a1 \u00e1c t\u00ednh v\u00e0 di c\u0103n.<\/p>\n<p>Qu\u00e1 tr\u00ecnh th\u1ee7 thu\u1eadt g\u1eb7p th\u00e1ch th\u1ee9c do kh\u00f3 ti\u1ebfp c\u1eadn t\u1ed5n th\u01b0\u01a1ng t\u1eeb ph\u00eda mi\u1ec7ng (qu\u1eb7t ng\u01b0\u1ee3c), v\u00ec v\u1eady b\u00e1c s\u0129 \u0111\u00e3 linh ho\u1ea1t s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt c\u1eaft ni\u00eam m\u1ea1c t\u1eeb ph\u00eda h\u1eadu m\u00f4n \u0111\u1ec3 t\u1ea1o v\u1ea1t, k\u1ebft h\u1ee3p t\u1ea1o l\u1ef1c k\u00e9o b\u1eb1ng clip v\u00e0 b\u00f3c t\u00e1ch b\u1eb1ng dao nano IT.<\/p>\n<p>K\u1ebft qu\u1ea3 GPBL v\u00e0 h\u00f3a m\u00f4 mi\u1ec5n d\u1ecbch x\u00e1c \u0111\u1ecbnh t\u1ebf b\u00e0o u d\u01b0\u01a1ng t\u00ednh v\u1edbi synaptophysin v\u00e0 ch\u1ec9 s\u1ed1 Ki-67 \u0111\u1ea1t 5%. \u0110i\u1ec1u n\u00e0y kh\u1eb3ng \u0111\u1ecbnh kh\u1ed1i u \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1ea5y ra to\u00e0n v\u1eb9n \u1edf m\u1eb7t ph\u1eb3ng s\u00e2u s\u00e1t l\u1edbp c\u01a1.<\/p>\n<p>Sau 3 th\u00e1ng t\u00e1i kh\u00e1m, v\u00f9ng can thi\u1ec7p ch\u1ec9 c\u00f2n l\u1ea1i s\u1eb9o tr\u1eafng, kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u t\u00e1i ph\u00e1t tr\u00ean n\u1ed9i soi v\u00e0 MRI.<\/p>\n<p>Ca b\u1ec7nh n\u00e0y minh ch\u1ee9ng r\u1eb1ng ESD l\u00e0 k\u1ef9 thu\u1eadt l\u00fd t\u01b0\u1edfng cho NET tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi 2cm, gi\u00fap b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng c\u01a1 quan v\u00e0 tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c cu\u1ed9c \u0111\u1ea1i ph\u1eabu c\u1eaft \u0111o\u1ea1n tr\u1ef1c tr\u00e0ng.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/04\/69df8077a1222.jpg\" width=\"1170\" height=\"658\" \/><\/p>\n<p>T\u1ed5ng k\u1ebft b\u00e0i b\u00e1o c\u00e1o, BS.CK2 Nguy\u1ec5n \u0110\u1ee9c Th\u00f4ng kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a c\u00e1c ca can thi\u1ec7p n\u1ed9i soi u ti\u00eau h\u00f3a ph\u1ee5 thu\u1ed9c m\u1eadt thi\u1ebft v\u00e0o vi\u1ec7c ch\u1ecdn l\u1ecdc b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p.<\/p>\n<p>\u0110\u1ed1i v\u1edbi u nh\u00fa Vater, vi\u1ec7c s\u1eed d\u1ee5ng m\u00e1y soi nghi\u00eang \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 l\u1ea1i t\u1ed5n th\u01b0\u01a1ng v\u00e0 \u0111\u1eb7t stent t\u1ee5y d\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng vi\u00eam t\u1ee5y l\u00e0 b\u1eaft bu\u1ed9c. Trong khi \u0111\u00f3, v\u1edbi NET tr\u1ef1c tr\u00e0ng, b\u00e1c s\u0129 n\u1ed9i soi c\u1ea7n l\u00e0m quen v\u1edbi c\u00e1c h\u00ecnh \u1ea3nh \u0111\u1eb7c tr\u01b0ng nh\u01b0 t\u1ed5n th\u01b0\u01a1ng \u00e1nh v\u00e0ng hay d\u1ea5u hi\u1ec7u l\u00f5m trung t\u00e2m \u0111\u1ec3 kh\u00f4ng b\u1ecf s\u00f3t \u00e1c t\u00ednh.<\/p>\n<p>B\u00ean c\u1ea1nh k\u1ef9 thu\u1eadt th\u1ef1c hi\u1ec7n, b\u00e1o c\u00e1o c\u0169ng nh\u1ea5n m\u1ea1nh vai tr\u00f2 c\u1ee7a theo d\u00f5i l\u00e2u d\u00e0i. T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n sau th\u1ee7 thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c n\u1ed9i soi \u0111\u1ecbnh k\u1ef3 v\u00e0 ki\u1ec3m tra b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh nh\u01b0 MRI ho\u1eb7c EUS \u0111\u1ec3 lo\u1ea1i tr\u1eeb ho\u00e0n to\u00e0n nguy c\u01a1 s\u00f3t u hay ti\u1ebfn tri\u1ec3n ung th\u01b0 mu\u1ed9n.<\/p>\n<p>Tr\u01b0\u1edfng khoa N\u1ed9i soi c\u1ee7a B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i chia s\u1ebb r\u1eb1ng d\u00f9 \u0111\u00e2y l\u00e0 nh\u1eefng k\u1ef9 thu\u1eadt kh\u00f3, \u0111\u00f2i h\u1ecfi tay ngh\u1ec1 cao, nh\u01b0ng b\u1ec7nh vi\u1ec7n \u0111\u00e3 th\u1ef1c hi\u1ec7n th\u00e0nh th\u1ea1o v\u00e0 l\u00e0m ch\u1ee7 quy tr\u00ecnh. Trong t\u01b0\u01a1ng lai, v\u1edbi s\u1ef1 \u0111\u1ea7u t\u01b0 th\u00eam v\u1ec1 c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 chuy\u00ean d\u1ee5ng nh\u01b0 c\u00e1c lo\u1ea1i snare \u0111\u1eb7c bi\u1ec7t hay b\u00f3ng k\u00e9o, \u0111\u01a1n v\u1ecb k\u1ef3 v\u1ecdng s\u1ebd gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a vi\u1ec7c chuy\u1ec3n tuy\u1ebfn, mang l\u1ea1i c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb nh\u1eb9 nh\u00e0ng v\u00e0 an to\u00e0n nh\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<\/div>\n<p><em>Ngu\u1ed3n: <a href=\"https:\/\/alobacsi.com\/benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap.html?gidzl=qy7CJHWLTWRMsyj26mrq0DVPoKG30I43oeJFIG06UrZ9rv981L8l0yU2mKO8LNrGnuMI6pFwu8np615u1W\">https:\/\/alobacsi.com\/benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap.html?gidzl=qy7CJHWLTWRMsyj26mrq0DVPoKG30I43oeJFIG06UrZ9rv981L8l0yU2mKO8LNrGnuMI6pFwu8np615u1W<\/a><\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Sinh th\u1eddi, B\u00e1c H\u1ed3 lu\u00f4n d\u00e0nh nhi\u1ec1u t\u00ecnh c\u1ea3m \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u00e0nh Y t\u1ebf. Ng\u01b0\u1eddi lu\u00f4n nh\u1eafc nh\u1edf \u201cL\u01b0\u01a1ng y ph\u1ea3i ki\u00eam t\u1eeb m\u1eabu\u201d. Cho \u0111\u1ebfn t\u1eadn khi s\u1eafp s\u1eeda \u0111i xa, trong Di ch\u00fac, Ng\u01b0\u1eddi v\u1eabn kh\u00f4ng qu\u00ean d\u1eb7n d\u00f2 ph\u1ea3i \u201cPh\u00e1t tri\u1ec3n c\u00f4ng t\u00e1c v\u1ec7 sinh, y t\u1ebf\u2026\u201d<\/p>","protected":false},"author":1,"featured_media":6632,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,15,9],"tags":[],"class_list":["post-6627","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hoat-dong-benh-vien","category-tin-tuc-su-kien-benh-vien-nguyen-trai","category-tin-tuc-nganh"],"blocksy_meta":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.9 (Yoast SEO v20.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i l\u00e0m ch\u1ee7 k\u1ef9 thu\u1eadt n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 c\u00e1c u \u1ed1ng ti\u00eau h\u00f3a ph\u1ee9c t\u1ea1p - B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/benh-vien-nguyen-trai-lam-chu-ky-thuat-noi-soi-hien-dai-dieu-tri-hieu-qua-cac-u-ong-tieu-hoa-phuc-tap\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i l\u00e0m ch\u1ee7 k\u1ef9 thu\u1eadt n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 c\u00e1c u \u1ed1ng ti\u00eau h\u00f3a ph\u1ee9c t\u1ea1p\" \/>\n<meta property=\"og:description\" content=\"Sinh th\u1eddi, B\u00e1c H\u1ed3 lu\u00f4n d\u00e0nh nhi\u1ec1u t\u00ecnh c\u1ea3m \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u00e0nh Y t\u1ebf. 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