KẾT QUẢ SỚM SAU MỔ CẮT GAN LỚN ĐIỀU TRỊ UNG THƯ BIỂU MÔ TẾ BÀO GAN TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To evaluate the early outcome of major liver resection to treat  the patients with hepatocellular carcinoma. Patients and methods: Retrospective cross-sectional study of 52 patients with hepatocellular carcinoma were performed major liver resection in Viet Duc hospital from 1/2015 to 12/2019. Results: The average age 50,3 ± 12,9 years old, the male/female ratio: 5/1, hepatitis B or and C 38,5%. Patients admitted to the hospital because of palpaple mass accounting for only 9,6%. AFP > 200 ng/ml 53,8%. The most common incision was J shaped incision on the right subcostal region accounting for 86,5%. The overall postoperative complications rate: 36,5%; Residual fluid collection 24% which was the most common complication. There was no patient suffering postoperative bleeding and liver failure. Postoperative 1- month mortality rate 0%. The mean hospital stay: 14 ± 8,2 days. There was no statistically significant difference (p > 0.05) of the postoperative complications between of total bilirubin (< 20 and ≥ 20 mmol/ml), albumin (< 35 and ≥ 35 g/l), prothrombin% (<65 and 65%), platelets (<100 and 100 G/l), tumor count (≤ 2 tumors and > 2 tumors), intraoperative and or postoperative blood transfusion. Conclusion: Major liver resection for hepatocellular carcinoma is safe and mortality rate 0%.