FV Hospital
Tiếng Việt flag VIE
IAC (028) 35 11 33 33 Emergency (028) 35 11 35 00
General Surgery

Surgical Techniques

Applying minimally invasive and conventional surgical techniques to optimise outcomes and reduce complications.

Gastric And Colorectal Cancer Surgery

Gastric cancer is one of the most common cancers worldwide and remains a leading cause of cancer-related mortality, particularly in Asia. Gastric cancer is often asymptomatic in the early stages, advanced cases are often difficult to treat, hence the importance of early diagnosis.

Risk factors vary by anatomical sub-site:

  • Non-cardia gastric cancer, which is more common in East Asia, represents ∼80% of gastric tumours has been associated with Helicobacter pylori (H. pylori) infection, alcohol use, high salt intake and low consumption of fruit and vegetables.
  • Proximal (cardia) gastric cancer is associated with obesity and gastro-oesophageal reflux and is more common in North America and Western Europe.
  • Epstein-Barr virus (EBV)-positive gastric cancer is more prevalent in the fundus.


FV gastro-enterology department focuses on identification of high-risk patents and early diagnosis of gastric pre-cancerous lesions and cancer disease.

Each patient with gastric cancer is assessed by a multidisciplinary team that includes medical and radiation oncologists, gastrointestinal and general surgeons, imaging specialists, pathologists, and gastroenterologists, in order to develop a personalised care plan.

Surgical resection of operable gastric cancer is potentially curative. The extent of surgical resection depends on tumour location, extension of the cancer and subtype of the cancer.

  • Smaller tumours require less extensive surgery.
  • However, most gastric cancers require radical gastrectomy and a removal of the lymph nodes (D1 resection implies removal of the peri-gastric lymph nodes, D2 implies removal of additional lymph nodes along the hepatic artery, splenic artery or coeliac axis). Radical gastrectomy with D2 lymphadenectomy requires highly experienced surgeons and leads to superior outcome.
  • FV general surgeons have a large experience of performing this procedure using either laparoscopy, a minimally invasive approach associated with reduced postoperative pain, faster recovery, shorter hospital stay, and fewer complications, or Robotic-assisted gastrectomy using the da Vinci Xi system, offering enhanced precision, improved visualisation, smaller incisions, minimal scarring, and better functional and oncological outcomes.

Colorectal cancer is the third most common cancer worldwide and the second leading cause of cancer-related deaths, and its incidence increases among younger people which led international organisations to recommend screening at age 45.

Explore our Screening Programmes

FV Hospital offers the latest colorectal cancer treatment options. For each patient a personalised treatment plan is defined by a multidisciplinary team including radiotherapy and medical oncologists, general surgeons, imaging specialists, pathologists, and gastro-enterologists.

Our colorectal surgical techniques include:

  • Laparoscopic surgery, a type of minimally invasive surgery which is associated with less pain, a shorter hospital stay, and fewer complications;
  • Robotic-assisted surgery using the Da Vinci Xi robot. Benefits of robotic surgery include smaller incisions, minimal scarring, quicker recovery, and improved outcome.
  • Sphincter-sparing surgery for low rectal cancer, supported by extensive experience in complex pelvic surgery and performed using high-precision laparoscopic and robotic-assisted techniques, enabling anal preservation and avoiding a permanent stoma a colostomy, often referred to as “having a bag”, in carefully selected patients without compromising oncological outcome.

The FV General Surgery Department has implemented an Enhanced Recovery After Surgery (ERAS) programme to improve recovery through an evidence-based multimodal perioperative care pathway.

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Hepatobiliary and Pancreatic Surgery

Hepatobiliary surgery covers procedures that treat disorders of the biliary system, which includes the liver, pancreas, gallbladder and bile duct. The liver is a vital organ that supports metabolism, detoxification, and bile production. The biliary system regulates and produces bile, which is a fluid the body produces to help digest the fats in foods that have been eaten.

At FV Hospital, we put the patient at the centre of a comprehensive team of specialists. As part of a multidisciplinary team, our hepatobiliary surgeons work closely with other hospital specialists, including cancer specialists, interventional radiologists, gastro-enterologists, to develop individualised patient treatment plans.

The liver can be affected by benign cysts to life-threatening cancers. Surgery is the primary and most effective, potentially curative treatment for localised hepatobiliary cancers (liver, gallbladder, bile duct). When surgery is needed, a hepatectomy (removal of part of the liver) may be the treatment of choice.

Learn more about Liver resection

FV general surgeons offer minimally invasive surgical techniques, including laparoscopic and robotic-assisted surgery.

Liver conditions treated surgically

  • Liver Cancer (Hepatocellular Carcinoma, HCC). The most common primary liver cancer, often linked to hepatitis B, hepatitis C, or cirrhosis. Minimally invasive surgical techniques allow precise tumour removal while preserving healthy tissue.
  • Secondary (Metastatic) Liver Tumours: Cancers such as colorectal or breast cancer can spread to the liver. Minimally invasive surgical techniques offers safe removal of these metastatic tumours.
  • Benign liver tumours like haemangiomas, focal nodular hyperplasia (FNH), or hepatic adenomas may require resection if they cause pain, bleeding, or rapid growth.
  • Liver abscess is often treated by laparoscopic drainage.
  • Liver cysts and Polycystic Liver Disease: While most liver cysts are harmless, large or symptomatic cysts can be removed robotically for relief and to prevent complications.
  • Intrahepatic bile duct cancer (Cholangiocarcinoma): This rare cancer arises in the bile ducts within the liver. Surgical resection remains the most effective and potentially curative treatment when the tumour is localised, offering the best chance for long-term survival.

Robotic technology helps surgeons operate in these delicate areas with high precision.

Surgery on the biliary system typically involves resection (gallbladder, biliary tree) and/or biliary drainage. The most common biliary procedure is cholecystectomy (removing the gallbladder).

Conditions that require surgery include gallstones, gallbladder cancer, blocked bile ducts caused by tumours, stone, stricture (scar tissue) or infection, and bile duct cancer.

FV general surgeons offer minimally invasive surgical techniques, including laparoscopic and robotic-assisted surgery.

Pancreatic cancer surgery aims to remove tumours, with the Whipple procedure (pancreaticoduodenectomy) being common for head tumours, involving removal of the pancreas head, gallbladder, bile duct, and part of the small intestine/stomach, then reconnecting digestive parts. Other options include distal pancreatectomy (body/tail removal, often with spleen) and total pancreatectomy (entire pancreas).

A pancreatectomy can be performed for other conditions such as neuroendocrine tumours like insulinoma, metastatic tumours, pancreatic cysts and pseudocysts, severe pancreatitis.

In addition to conventional open and laparoscopic approaches, robotic-assisted pancreatic surgery offers significant advantages, including enhanced surgical precision, fewer complications, faster recovery, and improved clinical outcomes.

Bariatric Surgery for Obesity Treatment

Discover a life-changing solution that actually works. Long-term weight loss is here.

Gastric sleeve surgery, a minimally-invasive laparoscopic procedure, is the most commonly performed, the surgeon gently reshapes your stomach and removes the part that creates ghrelin, the “hunger hormone” so you can take back control of your appetite. After the surgery your stomach will continue functioning normally. As a result, you can still eat your favorite foods.

Gastric sleeve patients lose a significant amount of weight from their surgery and live longer healthier lives.

  • On average, most patients lose 60 to 80% of their excess weight within the first year (5 to 10 kg per month).
  • Patients enjoy greater mobility and a better quality of life.
  • The resulting weight loss improves or prevents many life-threatening weight-related conditions, such as heart conditions, high blood pressure, reflux, high cholesterol, stroke, and diabetes.

Improves Heart Health

Bariatric surgery leads to improvement in most problems related to heart disease, including high blood pressure and cholesterol.

Relieves Reflux

Gastroesophageal Reflux Disease (GERD) is more common in those who struggle with obesity, and gastric sleeve surgery has been shown to reduce the effect of GERD symptoms.

Lowers Blood Sugar

Weight loss surgery has been shown to reduce the symptoms of high blood sugar and in some cases can resolve issues related to type 2 diabetes.

At FV, bariatric surgery is not just an operation — it is a life-changing journey supported by a multidisciplinary team.

Multidisciplinary Assessment

Each patient is carefully assessed to ensure appropriate and safe surgery

  • Surgeon – evaluates medical suitability and surgical options
  • Nutrition specialist – provides dietary guidance before and after surgery
  • Clinical psychologist – assesses readiness and supports behavioural change
  • tEndocrinologist or Cardiologist – manages existing medical conditions

Advanced Laparoscopic Surgery

The operation is performed using keyhole (laparoscopic) techniques through small incisions. A specialised stapling device divides and seals the stomach in a single step, allowing for high precision, minimal bleeding and reduced scarring, while maintaining surgical safety.

Recovery and Long-Term Follow-Up

FV applies Enhanced Recovery After Surgery (ERAS) principles to support faster recovery. Patients are encouraged to mobilise and resume oral intake early. After discharge, the care team provides scheduled follow-ups to monitor weight loss, nutrition and long-term health outcomes.

Laser Haemorrhoidoplasty – Fistula Laser Closure… Less Pain, Faster Recovery

Haemorrhoids and anal fistulas are two distinct, benign, and common conditions affecting the anal region. Both can be effectively treated using advanced minimally invasive laser techniques.

Laser haemorrhoidoplasty (LHP) is a minimally invasive alternative to excisional haemorrhoidectomy, using heat from the laser to seal the veins that supply the haemorrhoids, causing them to shrink and eventually disappear.

LHP is appropriate for grades 2, 3 and selected grade 4 haemorrhoids, with symptoms like with pain, bleeding, and prolapse. In contrast to traditional surgery, there is no cutting or sewing tissue, thus greatly reducing postoperative bleeding and pain, allowing a rapid recovery, and significant symptom and quality of life improvement. Return to normal daily activities is possible after a very short time.

Fistula Laser Closure is a sphincter-preserving treatment for anal fistulas. Closure of the fistula is achieved using laser energy emitted by a radial fibre connected to a diode laser, causing shrinkage of the tissue around the radial fibre. This treatment promotes natural healing while preserving normal anatomy and function.

Overall, laser treatment offers less pain, minimal bleeding, faster recovery, and improved quality of life compared with conventional surgery.

Hernia Surgery – Advanced Repair for Durable Results

Our hospital provides comprehensive surgical care for a wide range of hernias, including inguinal hernia, umbilical hernia, abdominal hernia, hiatal hernia, and diaphragmatic hernia.

In addition to conventional open surgery, we offer advanced laparoscopic and robotic-assisted hernia repair, providing greater precision, smaller incisions, less postoperative pain, minimal scarring, and faster recovery.

Our surgical team has extensive experience in managing complex and recurrent hernias, applying tailored surgical approaches to achieve durable repair, minimise recurrence, and ensure optimal patient outcomes.

Thyroid Surgery – Advanced Care for Thyroid Cancer

Our General surgery team offers expert surgical treatment for thyroid diseases, with a strong focus on thyroid cancer. Our surgical team has extensive experience in thyroid surgery, particularly in cases requiring lymph node dissection and in the management of locally advanced and complex thyroid cancers.

We are committed to achieving optimal oncological outcomes while ensuring patient safety and preserving quality of life.

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