ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN SUY GAN SAU PHẪU THUẬT CẮT GAN TẠI KHOA HỒI SỨC CẤP CỨU – BỆNH VIỆN K

Abstract

Subjects and methods: Prospective cross-sectional description of 45 patients with hepatocellular carcinoma who underwent hepatectomy, were admitted to the Intensive Care Department of K Hospital, and were diagnosed with liver failure after surgery, the period from 03/2023 to 09/2023. Results: The most common age group was over 60 (51.1%). Males comprised 91.1% of the patients, while females comprised 8.9%. A history of hepatitis was present in 91.1% of patients. Preoperative liver function was categorized as Child-Pugh A (5 points) in 82.2% of patients. The average MELD score of the patients in this study was 7.16 ± 1.15. Liver failure after major hepatectomy was the most common diagnosis (82.2%). Pre-operative liver function classification, according to Child-Pugh and MELD score, did not help predict the degree of liver failure after surgery. 75.6% of patients responded well to liver failure treatment regimens, while 24.4% of patients developed severe disease or died, mainly in the group with liver failure level C (severe progression 100%). Infection and pneumonia were the most common complications in patients with postoperative liver failure. Conclusion: Postoperative liver failure is a significant complication that can lead to death after surgery and is difficult to predict preoperatively.