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Date Published: 10/04/2024
Abstract Views: 115
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DOI: https://doi.org/10.51298/vmj.v537i1B.9082
Issue
Vol. 537 No. 1B (2024)
Section
Các bài báo
How to Cite
Phạm, T. A., & Trương, M. C. (2024). SHORT-TERM OUTCOMES OF ANATOMICAL MAJOR HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA. Vietnam Medical Journal, 537(1B). https://doi.org/10.51298/vmj.v537i1B.9082

SHORT-TERM OUTCOMES OF ANATOMICAL MAJOR HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA

Thế Anh Phạm, Mạnh Cường Trương

Main Article Content

Abstract

Objective: To evaluate the short-term outcomes of anatomical major hepatectomy for hepatocellular carcinoma. Subject and method: This was a retrospective descriptive study of the cases who underwent anatomical major hepatetomy for hepatocellular carcinoma at the Department of Hepatobiliary and Pancreatic Surgery, K Hospital from April 2018 to October 2023. Result: Elective surgery was performed for 207 patients. The average age was 55,5 ± 12,6 years; 87,8% of patients were male; hepatitis B related: 81,3%. The mean AFP was 1575,4 ± 4869,6 ng/ml. Portal vein thrombosis was seen in 24 patients (11,6%).  The mean tumor size in the CT scan was 9,4 ± 4 cm. Right hepatectomy has the majority (53,7%). Takasaki’s method was the majority of extrahepatic Glissonean pedicle isolation (92,1%). The mean operation time was 131,6 ± 35,4 min. There was no intraoperative blood transfusion. The average length of hospital stay was 10,1 ± 6,5 days. Postoperative complications that occurred in 41 patients (20%) including ascites (18,5%), liver failure (2,5%), pleural effusion (1%) and surgical site infection (1%). The classification of complications according to Clavien was: I (17,1%), II (2,4%) and IIIa (0,5%). There was no perioperative mortality. Conclusion: Anatomical major hepatectomy for hepatocellular carcinoma is a feasible, safe, and effective method.

Article Details

Keywords

major hepatectomy, anatomical liver resection, hepatocellular carcinoma.

References

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