The Northern mountainous provinces have underdeveloped economies, difficult life, inadequately developed health systems, inadequate human resources, limited and uneven qualifications, and lack of modern medical equipment, making it difficult to diagnose and treat surgical diseases, including LT Trinh Hong Son's study found that the diagnostic protocol and indications for treatment were inconsistent due to the lack of diagnostic equipment, the lack of diagnostic doctors, many surgeons who had no experience in assessing and difiniting lesions that lead to wrong indications, some hemostatic and resectiontechniques of liver rupture are not proficient, increasing the rate of complications.