ĐẶC ĐIỂM KỸ THUẬT CẮT GAN BẰNG PHƯƠNG PHÁP TÔN THẤT TÙNG KẾT HỢP TAKASAKI ĐIỀU TRỊ UNG THƯ TẾ BÀO GAN

Abstract

Introduction: To study the technical characteristics of hepatectomy by Ton That Tung’s method combined with Glissonean pedicle approach by Takasaki method in hepatic resection for hepatocellular carcinoma. Patients and methods: This is a prospective study of 83 patients undergoing hepatic resection by Ton That Tung’s method combined with Glissonean pedicle approach by Takasaki method for hepatocellular cancer at Nghe An Friendship General Hospital from February 2017 to July 2021. Results: The incision below the ribs and the J-line were used in 39.8% and 37.3% of patients, respectively. Total right and left liver clearance in 21.7% and 8.4% of patients, respectively. Glissonean pedicle approach by Takasaki method was used in 100% of patients; General complications during dissecting the hepatic hilum and hepatic hilar lymph nodes dissection occurred in 4.8% and 43.2% of patients, respectively. Parenchymal resection prior to Glissonean pedicle resection was performed in all cases. Hepatic parenchymal resection by Kelly forceps combined with ultrasonic scapel and electrocautery was done in 74.7% of patients. Bile leakage was checked with color indicator in 37.3% of patients; The cut surface was covered with surgicel in 85.6% of patients; frozen section biopsy was done in 95.2% of patients; 100% of patients had abdominal drainage. Conclusion: Hepatic resection by Ton That Tung method combined with Glissonean pedicle approach by Takasaki method in hepatectomy for hepatocellular carcinoma managment is a safe and simple method if the surgeon thoroughly understands the liver anatomy and masters the heptatic hilar management techniques.