SHORT – TERM OUTCOME OF RIGHT POSTERIOR SECTIONECTOMY BY THE GLISSONEAN PEDICLE APPROACH FOR HEPATOCELLULAR CARCINOMA

Thế Anh Phạm , Huy Phương Trịnh

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Abstract

Objectives: To evaluate the short-term outcomes of right posterior sectionectomy by the Glissonean pedicle approach for hepatocellular carcinoma (HCC) at K Hospital. Subjects and methods: A retrospective description study of 33 patients undergoing right posterior sectionectomy by the Glissonean pedicle approach for HCC at the Department of Hepatobiliary and pancreatic Surgery - K Hospital from January 2022 to October 2022. Results: The male: female ratio was 10:1. The average age was 58.8 ± 10.9 years. Hepatitis B was related in 78.8%. Liver cirrhotic witnessing intraoperative was found in 65.6% of patients. The mean operation time was 133 ± 6.04 minutes. There were no cases of intraoperative complications and blood transfusion. There were no cases of postoperative liver failure. The average length of hospital stay was 9.3 ± 5.2 days; the mean time until gas passing was 3.1 ± 0.35 days. Postoperative pathology: Well – differentiated hepatocellular carcinoma 12.1%, moderately – differentiated hepatocellular carcinoma 69.7%; Poorly – differentiated hepatocellular carcinoma 18.2%. Conclusion: Right posterior sectionectomy by the Glissonean pedicle approach in treatment of HCC is a feasible, safe, and effective method.

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