KỸ THUẬT CẮT NHU MÔ GAN AN TOÀN TRONG PHẪU THUẬT CẮT GAN ĐIỀU TRỊ UNG THƯ GAN

Abstract

Objective: I would like to share my experience in terms of learning curve in laparoscopic lever resection with every ones. Materials and Methods: From January 2017 to May 2025, a total 406 patients underwent liver resection for hepatocellular carcinoma in Hue Central Hospital. Results: Outcome from all 406 patients who were performed liver resection for hepatocellular carcinoma. There were no statistically significant differences were found between the two groups about mean operative time (205 vs 237; p=0,67); mean time  intermittent Pringle maneuver (45 vs 40; p=0,37), complication rates (12,4% vs 12,2%; p=0,22), the mean length of hospital stay (16 vs 15 days; p=0,55). However, statistically significant differences were observed in terms of intraoperative blood loss (250 vs 115 ml; p=0.01), the patients rate requiring blood transfusion (13,4% vs 10,2%; p=0,02). Conclusion: The liver parenchymal transection technique using the Sonastar ultrasonic dissector is more effective in terms of reducing average blood loss and provides greater precision when dissecting the tumor invasive hepatic veins. However, the clamp-crush technique is simpler, potentially faster, and more cost-effective.