KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT GAN

Abstract

Background: Laparoscopic liver resection has increasingly become a popular choice in the treatment of liver cancer, especially for small tumors. This study aims to evaluate the clinical, paraclinical characteristics, surgical techniques, and outcomes of this procedure. Methods: This is a prospective cohort study involving 87 patients who underwent laparoscopic liver resection at Hue Central Hospital from January 2019 to May 2024. Results: The mean age of the patients was 56.7 ± 10.6 years (range: 25 - 80 years). The male-to-female ratio was 88% to 12%. The rate of patients diagnosed with BCLC-A stage liver cancer was 90.8%. The average tumor size was 3.7 ± 1.3 cm (range: 2.5 - 5.0 cm), with 82.8% being solitary tumors. The rates of control for the right and left hepatic pedicles were 65.5% and 34.5%, respectively. Hemostasis at the resection margin was achieved using bipolar cautery and Bioglue in 86.2% and 13.8% of cases, respectively. The average duration of surgery was 115.6 ± 37.9 minutes (range: 70 - 235 minutes), with an average blood loss of 390 ± 271.5 ml (range: 100 - 1150 ml). The incidence of hepatic venous injury was 5.7%. Postoperative complications occurred in 16% of the cases. The average length of hospital stay was 9.7 ± 5.3 days (range: 7 - 25 days), with a postoperative mortality rate of 1.1%. Conclusions: Laparoscopic liver resection is a feasible procedure that can be performed at major centers equipped with modern facilities and experienced surgical teams. It is a safe and reasonable option for tumors smaller than 5 cm, with low rates of complications and mortality as well as a short hospital stay.