In the procedure of esophagojejunostomy after total or proximal gastrectomy with double-tract reconstruction, we opt for the overlap method. Entry points are made on the esophageal stump's left side and 5cm from the anal side on the jejunum's antimesentric aspect. The anastomosis of the esophagus's left side is performed using SureForm (blue, 45mm) and the common entry site is then closed with hand-sewn V-Loc. A comprehensive analysis of short-term surgical outcomes was undertaken for all patients.
A total of 23 patients benefited from this reconstructive technique. None of the patients experienced a requirement for any subsequent open surgery. The mean duration for performing anastomosis was 24728 minutes. Flavopiridol For 22 patients, the post-operative period was uneventful; a single patient encountered a minor anastomotic leak (Clavien-Dindo grade 3), which was addressed with conservative measures and a drainage tube.
The esophagojejunostomy method, implemented after robot-assisted gastrectomy, is demonstrably simple and practical, showing satisfactory short-term results and potentially becoming the preferred choice for esophagojejunostomy.
Our esophagojejunostomy procedure, performed after robot-assisted gastrectomy, is characterized by its simplicity and practicality, coupled with acceptable short-term results, and may become the procedure of choice for future esophagojejunostomy procedures.

Less common in adults, the surgical condition known as intussusception, while sometimes limited to the small bowel, is still a rare occurrence. Surgical intervention for adult intussusception is warranted due to the risk of ischemia and the possibility of malignant causes, including gastrointestinal stromal tumors (GISTs), as illustrated by the current case.
A 32-year-old male patient's condition was characterized by abdominal pain and vomiting, which had lasted for three days. No deviations from normal were observed during the abdominal examination and vital sign assessment. Abdominal ultrasonography of the right lower quadrant showcased a target sign consistent with ileoileal intussusception. Computed tomography of the abdomen, enhanced with contrast, depicted features suggestive of intussusception involving the ileum. Diagnostic laparoscopy was performed initially, only for it to be followed by a laparotomy for segmental ileal resection and anastomosis due to an ileoileal intussusception. A polypoidal growth of the resected ileum was found to be a GIST (positive for CD117 and DOG-1), thereby indicating it as the initial focus. The patient's recovery post-operation was excellent, and they were subsequently referred to the oncology clinic for chemotherapy treatment.
Intussusception and its subsequent obstructive complications are not frequently observed in GIST patients, as their typical growth pattern is extraluminal. In adults, intussusception, while uncommon, demands a high degree of suspicion and appropriate imaging methods for accurate diagnosis.
In adult patients, GIST-linked ileoileal intussusceptions represent a rare clinical phenomenon typically presenting with a variable and unclear clinical presentation. Consequently, careful clinical assessment, coupled with a strategic approach to imaging, is critical.
GIST-associated ileoileal intussusception, a rare manifestation within adult intussusceptions, frequently exhibits a variable and often subtle clinical presentation, demanding both a high index of suspicion and thoughtful utilization of imaging studies.

Nephrotic syndrome (NS), initially described in 1827, demonstrated characteristic features of proteinuria at or above 35 grams per 24 hours, hypoalbuminemia (albumin level below 30 grams per deciliter), peripheral edema, hyperlipidemia, and lipiduria, all attributed to enhanced permeability of the renal glomerulus. Prolonged proteinuria inevitably culminates in hypothyroidism.
In the instance described, a 26-year-old male patient, with no known prior medical history, presented to the emergency department with a one-week history of generalized edema, accompanied by nausea, fatigue, and widespread aches throughout his extremities. Handshake antibiotic stewardship His three-week hospitalization stemmed from an NS diagnosis, further complicated by hypothyroidism. Following a period of three weeks of care and careful observation, the patient's clinical condition and laboratory analyses showed significant improvement, leading to their discharge in good health.
A rare and subtle presentation of hypothyroidism can be observed in the early stages of neurodegenerative syndromes, necessitating physicians' awareness of this possibility at all stages of the syndrome.
The possibility of hypothyroidism in the early stages of neurological syndrome (NS) should be considered by physicians, as this rare condition may manifest at any point during the disease process.

A rare surgical event, spontaneous bilateral intracerebral hemorrhage, presents a poor prognosis, especially when affecting young individuals. In addition to hypertension, vascular malformations, infections, and rare genetic conditions also have a role in the issue.
Upon arrival at the emergency room, a 23-year-old male, without any prior medical conditions, reported a sudden onset of unconsciousness and one instance of a seizure. No information on past intoxication or traumatic experiences was offered. A Glasgow Coma Scale reading of E1V2M2 was observed at the time of initial presentation. A head CT scan showed bilateral basal ganglia hematomas and an intraventricular hemorrhage, a critical finding.
The patient's treatment in the Neurosurgical Intensive Care Unit adhered to conservative principles. Management offered their unwavering support. The patient's motor response was progressing, and a subsequent CT scan confirmed that the hematoma was lessening in size. The patient, faced with poor economic circumstances, ultimately chose to depart the treatment facility against medical advice.
Spontaneous bilateral basal ganglia haemorrhage, a rare surgical crisis, does not have a uniform standard of care. Poor economic groups bear a disproportionate risk of intracerebral hemorrhage due to undiagnosed hypertension, as this case powerfully illustrates.
A universally accepted treatment approach for spontaneous bilateral basal ganglia haemorrhage, a rare surgical emergency, is yet to be established. This instance of intracerebral haemorrhage in a low-income community highlights the significance of undiagnosed hypertension.

The entity known as clear cell papillary renal cell carcinoma (CCPRCC), a previously unclassified renal cell carcinoma, was initially detected in patients experiencing end-stage kidney failure. Observing this novel entity co-occurring with other renal malignant lesions is a remarkably uncommon occurrence.
A 65-year-old female, afflicted by ten years of end-stage kidney failure, presented with a double left renal tumor. This unusual growth, an oncocytoma coupled with multiple CCPRCCs, represents a very rare condition, according to the authors' report. The radical left nephrectomy, accomplished using a lumbotomy, was followed by a favorable postoperative experience. The histological examination proved to be a significant obstacle. A diffuse staining pattern for cytokeratin 7 was observed in the immunohistological analysis. Following a twelve-month period of observation, no local recurrence or metastatic spread was noted.
The previously unclassified entity, CCPRCC, now identified as a malignant renal cell carcinoma, was first detected in patients in the advanced stages of kidney failure. Oncocytoma, a benign renal tumor, is a relatively uncommon yet well-established condition. The unusual conjunction of these two elements warrants careful consideration, particularly during the performance of a scanoguided diagnostic biopsy. The recent identification of CCPRCC introduces a significant obstacle to histopathological confirmation. The pathological hallmark of CCPRCC is the nuclei's positioning, oriented towards the luminal surface. Immunohistopathological analysis elucidates a distinct pattern, marked by diffuse staining for cytokeratin 7 and carbonic anhydrase IX, which demonstrates considerable utility.
Within the realm of renal tumors, CCPRCC represents a novel and malignant pathological entity. Other benign kidney conditions can be present alongside this. Scanoguided biopsy cores, when subjected to histopathological examination, require careful attention to this element.
CCPRCC, a recently discovered malignant pathological entity, is now recognized within renal tumors. This condition has the potential to be connected with other harmless kidney abnormalities. When conducting histopathological examination, scanoguided biopsy cores, in particular, should account for this.

Among the diverse tumors affecting the cerebellopontine angle (CPA), meningiomas are the second most commonly observed. The location of dural attachment dictates the varying relationship between the tumor and crucial neurovascular structures within the cerebellopontine angle. This study endeavors to analyze the association between CPA meningioma's location near the internal auditory canal and their influence on clinical symptoms, radiological features, surgical strategies and results, a topic underreported in Vietnam.
Between August 2020 and May 2022, 33 patients underwent microsurgery at the Neurosurgery Center of Viet Duc University Hospital, forming the basis of a prospective study.
Of the total group, 27 (85%) were female and 6 (15%) male, with a mean age of 5412 years. According to their spatial relationship with the IAC, 16 cases were categorized as premeatal (49%), situated in front of the IAC, and 17 as retromeatal (15%), located behind the IAC. In the retromeatal group, the time to diagnosis was later (165 months compared to 97 months); there was no difference in average tumor size across the two groups. However, the retromeatal group with brainstem compression showed a significant increase in average tumor size (49 mm versus 44 mm). multidrug-resistant infection Cerebellar symptoms constituted the clinical picture in the retromeatal group, distinctly different from the symptoms of trigeminal neuropathy observed exclusively in the premeatal group.