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Date Published: 26/05/2023
Abstract Views: 293
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DOI: https://doi.org/10.51298/vmj.v526i1B.5453
Issue
Vol. 526 No. 1B (2023)
Section
Các bài báo
How to Cite
Lê, V. T. ., & Hồ , V. L. . (2023). OUTCOMES OF ANATOMYCAL LIVER RESECTION IN TREATMENT OF HEPATOCELLULAR CARCINOMA AT MILITARY CENTRAL HOSPITAL 108. Vietnam Medical Journal, 526(1B). https://doi.org/10.51298/vmj.v526i1B.5453

OUTCOMES OF ANATOMYCAL LIVER RESECTION IN TREATMENT OF HEPATOCELLULAR CARCINOMA AT MILITARY CENTRAL HOSPITAL 108

Văn Thành Lê1,, Văn Linh Hồ 1
1 108 Military Central Hospital

Main Article Content

Abstract

Objective: The study was conducted to evaluate the results of anatomycal liver resection in treatment of hepatocellular carcinoma (HCC). Subject and method: Cross sectional, descriptive study, over 594 cases of hepatectomy for HCC in Department of Hepatobiliary and Pancreas Surgery at the Military Central Hospital 108 from June 2017 to January 2023. There were 446 open and 148 laparoscopic hepatectomies.  Result: The average operation time/ blood loss in laparoscopic and open group were 190.2 ± 64.2 min/ 226.9 ± 150.4 ml and 144.5 ± 49.7 min/ 281.9 ± 228.9ml respectively. Postoperative complications rate was 19,23%, laparoscopic surgery had lower rate of complications (14.18% vs 20.63% (p<0.05)). Average hospital stay was 10.3 ± 4.5 days, no differences between the two groups ((9.3 ± 4.2 days vs 10.6 ± 4.5 days (p > 0.05)). The mean overall survival time was 48.9 ± 1.8 months, survival rate after 1, 3, 5 years was 94.2%, 70.6%, 49.2%, respectively. Tumor size > 5 cm is a prediction of worse postoperative survival (45.3 ± 2.9 months versus 51.5 ± 2.2 months, (p < 0.05). Conclusion: Both laparoscopic and open anatomy liver resection are safe and effective methods in treatment of HCC.

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