KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI CẮT GAN ĐIỀU TRỊ UNG THƯ BIỂU MÔ TẾ BÀO GAN TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC GIAI ĐOẠN 2019 – 2023

Abstract

Objective: To evaluate the early outcomes of laparoscopic hepatectomy for hepatocellular carcinoma at Transplantation Center, Viet Duc University Hospital from 2019 to 2023. Methods: a retrospective of 41 HCC patients who underwent laparoscopic hepatectomy at Transplantation Center – Viet Duc University Hospital from January 2019 to December 2023. Results: Most tumours were solitary (85.4%) with a mean size on CT/MRI of 4.02 ± 1.91 cm. The most common tumor location was segment 6 (31.7%). Preoperative liver function was predominantly Child-Pugh A (97.6%). Most resections were classified as Advanced difficult level (63.4%). Mean operative time was 192 ± 66.1 minutes, and most surgeries were minor hepatectomy (78.0%). Intraoperative bleeding was the most common complication. The open conversion rate was 9.8%. The mean length of hospital stay was 6.95 ± 2.27 days, and the incidence of postoperative complications of grade IIIA or higher was 5.4%. There were no cases of postoperative liver failure or mortality. Conclusions: Laparoscopic hepatectomy for HCC offers numerous advantages and is a safe and feasible treatment option.