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Date Published: 10/04/2024
Abstract Views: 42
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DOI: https://doi.org/10.51298/vmj.v537i1B.9114
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 RIGHT HEPATECTOMY FOR INTRAHEPATIC CHOLANGIOCARCINOMA. Vietnam Medical Journal, 537(1B). https://doi.org/10.51298/vmj.v537i1B.9114

SHORT-TERM OUTCOMES OF ANATOMICAL RIGHT HEPATECTOMY FOR INTRAHEPATIC CHOLANGIOCARCINOMA

Thế Anh Phạm, Mạnh Cường Trương

Main Article Content

Abstract

Objective: To evaluate the short-term outcomes of anatomical right hepatectomy for intrahepatic cholangiocarcinoma. Subject and method: This was a retrospective descriptive study of the cases who underwent anatomical right hepatetomy for intrahepatic cholangiocarcinoma at the Department of Hepatobiliary and Pancreatic Surgery in National Cancer Hospital from January 2021 to December 2023. Result: Elective surgery was performed for 14 patients. The average age was 61.8 ± 10.1 years; sex ratio was 1.33 male per 1 female; hepatitis B and hepatitis C related: 7.1%. CA 19-9 and CEA levels were elevated in 57.1% and 7.1% of cases, respectively. Most patients had a solitary tumor (78.6%) with a size larger than 5cm (28.6%) in a CT scan. All patients underwent local lymphadenectomy, including lymph nodes at the hepatoduodenal ligament along the common hepatic artery and retro-pancreatic space. The mean operation time was 166.3 ± 55.4 min. Postoperative pathology: II and IIIB TNM staging (42.9%, respectively), satellite nodules (50%), vascular invasion (28.6%), and lymph node metastases (9.7%). Postoperative complications occurred in 5 patients, including ascites (21.4%), liver failure (7.1%), sepsis (7.1%) and pneumonia (7.1%). The classification of complications according to Clavien–Dindo indicated grades I (60%) and II (40%). There was no perioperative mortality. The average length of hospital stay was 14.3 ± 8.1 days. Conclusion: Right hepatectomy for intrahepatic cholangiocarcinoma is a feasible, safe and effective method.

Article Details

Keywords

right hepatectomy, anatomical liver resection, intrahepatic cholangiocarcinoma.

References

1. Banales J M, Marin J J, Lamarca A, et al (2020), "Cholangiocarcinoma 2020: the next horizon in mechanisms and management", Nature reviews Gastroenterology & hepatology, 17 (9), pp. 557-588.
2. Đạt T Q (2010), "Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả phẫu thuật cắt gan do ung thư đường mật trong gan", Luận văn bác sĩ nội trú Đại học Y Hà Nội.
3. Harrison L, Fong Y, Klimstra D, et al (1998), "Surgical treatment of 32 patients with peripheral intrahepatic cholangiocarcinoma", British journal of surgery, 85 (8), pp. 1068-1070.
4. Belghiti J, Noun R, Malafosse R, et al (1999), "Continuous versus intermittent portal triad clamping for liver resection: a controlled study", Annals of surgery, 229 (3), pp. 369.
5. Lê Lộc (2010), "Kinh nghiệm qua 1245 trường hợp cắt gan ung thư", Tạp chí gan mật Việt Nam, 13, pp. 36 – 45.
6. Conci S, Ruzzenente A, Viganò L, et al (2018), "Patterns of distribution of hepatic nodules (single, satellites or multifocal) in intrahepatic cholangiocarcinoma: prognostic impact after surgery", Annals of Surgical Oncology, 25, pp. 3719-3727.
7. Ohtsuka M, Ito H, Kimura F, et al (2002), "Results of surgical treatment for intrahepatic cholangiocarcinoma and clinicopathological factors influencing survival", Journal of British Surgery, 89 (12), pp. 1525-1531.
8. Huang J L, Biehl T R, Lee F T, et al (2004), "Outcomes after resection of cholangiocellular carcinoma", The American journal of surgery, 187 (5), pp. 612-617.
9. Sakamoto Y, Kokudo N, Matsuyama Y, et al (2016), "Proposal of a new staging system for intrahepatic cholangiocarcinoma: analysis of surgical patients from a nationwide survey of the Liver Cancer Study Group of Japan", Cancer, 122 (1), pp. 61-70.
10. Ngô Đắc Sáng (2018), "Nghiên cứu các biến chứng sau phẫu thuật cắt gan do ung thư theo phương pháp Tôn Thất Tùng", Học viện Quân Y.