{"id":3011,"date":"2023-07-25T10:33:52","date_gmt":"2023-07-25T03:33:52","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=3011"},"modified":"2023-07-25T10:49:07","modified_gmt":"2023-07-25T03:49:07","slug":"phien-phau-thuat-xam-lan-toi-thieu-hoi-nghi-khoa-hoc-ky-thuat-2023","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=3011","title":{"rendered":"Phi\u00ean ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u &#8211; H\u1ed9i ngh\u1ecb Khoa h\u1ecdc k\u1ef9 thu\u1eadt 2023"},"content":{"rendered":"\n<p>\u00a0\u00a0\u00a0\u00a0 T\u1eeb thu\u1edf s\u01a1 khai c\u1ee7a lo\u00e0i ng\u01b0\u1eddi, ng\u00e0nh ngo\u1ea1i khoa b\u1eaft \u0111\u1ea7u t\u1eeb con dao c\u1ea1o c\u1ee7a th\u1ee3 c\u1eaft t\u00f3c, d\u00f9i \u0111\u1ee5c c\u1ee7a ng\u01b0\u1eddi th\u1ee3 m\u1ed9c v\u00e0 ru\u1ee3u \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au. Hippocrates (Hy L\u1ea1p, 460-377 TCN) \u0111\u01b0\u1ee3c coi nh\u01b0 cha \u0111\u1ebb c\u1ee7a n\u1ec1n y h\u1ecdc ph\u01b0\u01a1ng T\u00e2y, \u00f4ng c\u00f3 nhi\u1ec1u \u0111\u00f3ng g\u00f3p trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng, tr\u1eadt kh\u1edbp. \u1ede ph\u01b0\u01a1ng \u0110\u00f4ng, c\u00e2u chuy\u1ec7n Hoa \u0110\u00e0 r\u1ea1ch v\u00e0 n\u1ea1o \u0111\u1ed9c cho Quan V\u0169 th\u1eddi Tam Qu\u1ed1c ch\u1eafc h\u1eb3n ai c\u0169ng t\u1eebng nghe qua. Tr\u1ea3i qua nhi\u1ec1u giai \u0111o\u1ea1n l\u1ecbch s\u1eed, t\u1eeb cu\u1ed1i th\u1ebf k\u1ec9 18 ng\u00e0nh ngo\u1ea1i khoa ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u thay \u0111\u1ed5i theo chi\u1ec1u h\u01b0\u1edbng ti\u1ebfn b\u1ed9 v\u00e0 ph\u00e1t tri\u1ec3n nhanh. D\u00f9 c\u00f3 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ra \u0111\u1eddi, nhi\u1ec1u d\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c ph\u00e1t minh nh\u01b0ng ch\u01b0a c\u00f3 t\u00ednh \u0111\u1ed9t ph\u00e1. N\u0103m 1987, Philippe Mouret th\u1ef1c hi\u1ec7n tr\u01b0\u1eddng h\u1ee3p c\u1eaft t\u00fai m\u1eadt n\u1ed9i soi \u0111\u1ea7u ti\u00ean, ng\u00e0nh ngo\u1ea1i khoa \u0111\u00e3 ch\u1ee9ng ki\u1ebfn m\u1ed9t cu\u1ed9c c\u00e1ch m\u1ea1ng th\u1eadt s\u1ef1. Ph\u1eabu thu\u1eadt n\u1ed9i soi ra \u0111\u1eddi v\u1edbi ti\u1ec1n \u0111\u1ec1 l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi b\u00e0ng quang, d\u1ea1 d\u00e0y v\u00e0 \u1ed5 b\u1ee5ng b\u1eb1ng c\u00e1c d\u1ee5ng c\u1ee5 s\u01a1 khai, v\u1edbi mong mu\u1ed1n \u00edt x\u00e2m h\u1ea1i m\u00e0 ti\u1ebfn v\u00e0o s\u00e2u b\u00ean trong c\u00e1c c\u1ea5u tr\u00fac c\u01a1 th\u1ec3. V\u1edbi camera si\u00eau nh\u1ecf d\u00f9ng chip CCD \u0111\u1ec3 truy\u1ec1n h\u00ecnh \u1ea3nh qua h\u1ec7 th\u1ed1ng video, l\u00e0 c\u00fa h\u00edch v\u1ec1 c\u00f4ng ngh\u1ec7 \u0111\u1ec3 ph\u1eabu thu\u1eadt n\u1ed9i soi tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn nh\u01b0 ng\u00e0y h\u00f4m nay. T\u1ea1i Vi\u1ec7t Nam Ph\u1eabu thu\u1eadt n\u1ed9i soi c\u0169ng \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u t\u1eeb r\u1ea5t s\u1edbm v\u00e0o n\u0103m 1992, PGS TS Nguy\u1ec5n T\u1ea5n C\u01b0\u1eddng ti\u1ebfn h\u00e0nh ca m\u1ed5 c\u1eaft t\u00fai m\u1eadt n\u1ed9i soi \u0111\u1ea7u ti\u00ean t\u1ea1i BV Ch\u1ee3 R\u1eaby. Trong xu th\u1ebf \u0111\u00f3, t\u1eeb nh\u1eefng n\u0103m cu\u1ed1i c\u1ee7a th\u1eadp ni\u00ean 90, BV Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh l\u00e0 m\u1ed9t trong nh\u1eefng BV \u0111\u1ea7u ti\u00ean c\u1ee7a TP HCM\u00a0 \u0111\u00e3 tri\u1ec3n khai k\u1ef9 thu\u1eadt n\u00e0y, v\u1edbi b\u00e1o c\u00e1o: \u201cNh\u1eadn x\u00e9t\u00a0 kh\u00e2u th\u1ee7ng d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng qua ng\u1ea3 n\u1ed9i soi \u1ed5 b\u1ee5ng\u201d, TS Nguy\u1ec5n Anh D\u0169ng n\u0103m 2000. Cho \u0111\u1ebfn h\u00f4m nay, ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u00e3 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n t\u1ea1i h\u1ea7u h\u1ebft c\u00e1c BV t\u1ec9nh th\u00e0nh tr\u00ean c\u1ea3 n\u01b0\u1edbc. Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u00f4ng ch\u1ec9 d\u1eebng \u1edf chuy\u00ean khoa ngo\u1ea1i t\u1ed5ng qu\u00e1t, m\u00e0 c\u00e1c chuy\u00ean khoa kh\u00e1c nh\u01b0 Ngo\u1ea1i Th\u1ea7n Kinh, Ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, Ngo\u1ea1i L\u1ed3ng ng\u1ef1c m\u1ea1ch m\u00e1u, Ti\u1ebft ni\u1ec7u, Ph\u1eabu thu\u1eadt tim&#8230; m\u1edf ra m\u1ed9t chuy\u00ean ng\u00e0nh m\u1edbi l\u00e0 Ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u.<\/p>\n\n\n\n<p><strong>\u01afu \u0111i\u1ec3m c\u1ee7a Ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u01b0\u1eddng m\u1ed5 nh\u1ecf h\u01a1n, \u00edt g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u00f4 xung quanh, c\u0169ng nh\u01b0 s\u1eb9o m\u1ed5 s\u1ebd th\u1ea9m m\u1ef9 h\u01a1n.<\/li>\n\n\n\n<li>T\u0103ng \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a ph\u1eabu thu\u1eadt, gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng, ti\u1ebfp c\u1eadn nh\u1eefng v\u00f9ng m\u1ed5 s\u00e2u, h\u1eb9p, kh\u00f3 kh\u0103n cho thao t\u00e1c c\u1ee7a Ph\u1eabu thu\u1eadt vi\u00ean.<\/li>\n\n\n\n<li>R\u00fat ng\u1eafn th\u1eddi gian n\u1eb1m vi\u1ec7n v\u00e0 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c nhanh h\u01a1n, s\u1edbm tr\u1edf l\u1ea1i c\u00f4ng vi\u1ec7c th\u01b0\u1eddng ng\u00e0y.<\/li>\n<\/ul>\n\n\n\n<p>Tuy nhi\u00ean b\u00ean c\u1ea1nh \u0111\u00f3 c\u0169ng kh\u00f4ng \u00edt nh\u1eefng r\u00e0o c\u1ea3n, Ph\u1eabu thu\u1eadt vi\u00ean ph\u1ea3i thay \u0111\u1ed5i th\u00f3i quen, thao t\u00e1c kinh \u0111i\u1ec3n, v\u00ed d\u1ee5 nh\u01b0 nh\u00ecn h\u00ecnh \u1ea3nh hai chi\u1ec1u qua m\u00e0n h\u00ecnh, m\u1ea5t c\u1ea3m gi\u00e1c s\u1edd n\u1eafn c\u00e1c t\u1ea1ng, ph\u1ea3i s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 v\u1edbi nh\u1eefng nguy\u00ean l\u00fd thao t\u00e1c m\u1edbi. V\u00ec v\u1eady, c\u00e1c Ph\u1eabu thu\u1eadt vi\u00ean c\u1ea7n th\u1eddi gian \u0111\u00e0o t\u1ea1o c\u0169ng nh\u01b0 \u0111\u01b0\u1eddng cong \u0111\u00e0o t\u1ea1o k\u00e9o d\u00e0i h\u01a1n. B\u00ean c\u1ea1nh \u0111\u00f3 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a khoa h\u1ecdc c\u00f4ng ngh\u1ec7 \u0111\u00e3 lu\u00f4n \u0111\u1ed3ng h\u00e0nh v\u00e0 \u0111em l\u1ea1i c\u00e1c thi\u1ebft b\u1ecb c\u1ea3i ti\u1ebfn li\u00ean t\u1ee5c v\u1edbi gi\u00e1 th\u00e0nh gi\u1ea3m cho ph\u00e9p c\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u0169ng nh\u01b0 ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 ti\u1ebfp c\u1eadn h\u01a1n.<\/p>\n\n\n\n<p>V\u1edbi l\u1ecbch s\u1eed ph\u00e1t tri\u1ec3n l\u00e2u \u0111\u1eddi v\u00e0 l\u00e0 b\u1ec7nh vi\u1ec7n \u0111a khoa h\u00e0ng \u0111\u1ea7u t\u1ea1i TPHCM, BV Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 tri\u1ec3n khai ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u \u1edf nhi\u1ec1u chuy\u00ean khoa, l\u0129nh v\u1ef1c kh\u00e1c nhau, t\u1eeb ph\u1eabu thu\u1eadt  vi ph\u1eabu c\u1ee7a Ngo\u1ea1i th\u1ea7n kinh \u0111\u1ebfn ph\u1eabu thu\u1eadt  c\u1ed9t s\u1ed1ng n\u1ed9i soi. Khoa Ngo\u1ea1i ti\u00eau ho\u00e1 tri\u1ec3n khai ph\u1eabu thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng r\u1ed9ng r\u00e3i v\u00e0 th\u01b0\u1eddng qui trong c\u1ea3 ph\u1eabu thu\u1eadt ch\u01b0\u01a1ng tr\u00ecnh c\u0169ng nh\u01b0 c\u1ea5p c\u1ee9u. Ngo\u1ea1i Ti\u1ebft ni\u1ec7u c\u00f3 s\u1ed1 ca th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt n\u1ed9i soi chi\u1ebfm g\u1ea7n 80% c\u00e1c ca m\u1ed5 t\u1ea1i khoa. Ngo\u1ea1i l\u1ed3ng ng\u1ef1c m\u1ea1ch m\u00e1u tri\u1ec3n khai ph\u1eabu thu\u1eadt c\u1eaft b\u01b0\u1edbu gi\u00e1p n\u1ed9i soi, n\u1ed9i soi l\u1ed3ng ng\u1ef1c,&#8230; ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh c\u0169ng th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt n\u1ed9i soi kh\u1edbp vai, kh\u1edbp g\u1ed1i. V\u1edbi m\u1ed9t s\u1ed1 th\u00e0nh qu\u1ea3 nh\u01b0 v\u1eady, ch\u00fang t\u00f4i c\u0169ng c\u00f2n nhi\u1ec1u th\u1eed th\u00e1ch tr\u01b0\u1edbc m\u1eaft v\u00ed d\u1ee5 d\u1ee5ng c\u1ee5 n\u1ed9i soi si\u00eau nh\u1ecf, h\u00ecnh \u1ea3nh trong kh\u00f4ng gian ba chi\u1ec1u, ph\u1eabu thu\u1eadt v\u1edbi robot h\u1ed7 tr\u1ee3&#8230; <\/p>\n\n\n\n<p>Sau h\u01a1n 20 n\u0103m, c\u00e1c chuy\u00ean khoa ngo\u1ea1i \u0111\u00e3 c\u00f3 nh\u1eefng k\u1ebft qu\u1ea3 nh\u1ea5t \u0111\u1ecbnh v\u00e0 \u0111\u00e1ng kh\u00edch l\u1ec7, phi\u00ean h\u1ed9i th\u1ea3o Ngo\u1ea1i khoa v\u1edbi mong mu\u1ed1n nh\u00ecn l\u1ea1i v\u00e0 x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng h\u01b0\u1edbng ph\u00e1t tri\u1ec3n c\u00e1c k\u1ef9 thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u trong k\u1ef7 nguy\u00ean m\u1edbi, khi m\u00e0 ph\u1eabu thu\u1eadt v\u1edbi robot h\u1ed7 tr\u1ee3 v\u00e0 AI ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"721\" height=\"1024\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-1-HNKH-721x1024.jpg\" alt=\"\" class=\"wp-image-3013\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-1-HNKH-721x1024.jpg 721w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-1-HNKH-211x300.jpg 211w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-1-HNKH-768x1090.jpg 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-1-HNKH-600x852.jpg 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-1-HNKH.jpg 874w\" sizes=\"auto, (max-width: 721px) 100vw, 721px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"721\" height=\"1024\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-2-HNKH-1-721x1024.jpg\" alt=\"\" class=\"wp-image-3014\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-2-HNKH-1-721x1024.jpg 721w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-2-HNKH-1-211x300.jpg 211w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-2-HNKH-1-768x1090.jpg 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-2-HNKH-1-600x852.jpg 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/07\/25.07.23-2-HNKH-1.jpg 874w\" sizes=\"auto, (max-width: 721px) 100vw, 721px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00a0\u00a0\u00a0 T\u1eeb thu\u1edf s\u01a1 khai c\u1ee7a lo\u00e0i ng\u01b0\u1eddi, ng\u00e0nh ngo\u1ea1i khoa b\u1eaft \u0111\u1ea7u t\u1eeb con dao c\u1ea1o c\u1ee7a th\u1ee3 c\u1eaft t\u00f3c, d\u00f9i \u0111\u1ee5c c\u1ee7a ng\u01b0\u1eddi th\u1ee3 m\u1ed9c v\u00e0 ru\u1ee3u \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au. Hippocrates (Hy L\u1ea1p, 460-377 TCN) \u0111\u01b0\u1ee3c coi nh\u01b0 cha \u0111\u1ebb c\u1ee7a n\u1ec1n y h\u1ecdc ph\u01b0\u01a1ng T\u00e2y, \u00f4ng c\u00f3 nhi\u1ec1u \u0111\u00f3ng g\u00f3p 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