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Date Published: 15/02/2024
Abstract Views: 192
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DOI: https://doi.org/10.51298/vmj.v535i1B.8435
Issue
Vol. 535 No. 1B (2024)
Section
Các bài báo
How to Cite
Phạm, T. A., & Trương, M. C. (2024). SHORT-TERM OUTCOMES OF ANATOMICAL RIGHT HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA. Vietnam Medical Journal, 535(1B). https://doi.org/10.51298/vmj.v535i1B.8435

SHORT-TERM OUTCOMES OF ANATOMICAL RIGHT HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA

Thế Anh Phạm, Mạnh Cường Trương

Main Article Content

Abstract

Objective: To evaluate the short-term outcomes of anatomical right hepatectomy for hepatocellular carcinoma (HCC). Subject and method: This was a retrospective descriptive study of the cases who underwent anatomical right hepatetomy for hepatocellular carcinoma at the Department of Hepatobiliary and Pancreatic Surgery, K Hospital, from January 2022 to July 2023. Result: Elective surgery was performed for 110 patients. The average age was 55.3 ± 1.3 years; 89.1% of patients were male; hepatitis B related: 79.6%. The mean AFP was 2058.8 ± 5910.8 ng/ml. Right portal vein thrombosis was seen in 14 patients (12.7%). The mean tumor size in the CT scan was 9.3 ± 4.0 cm. Takasaki’s method was the majority of extrahepatic Glissonean pedicle isolation (93.6%). 31 patients (28.2%) underwent local lymphadenectomy, including lymph nodes at hepatoduodenal ligament, along common hepatic artery and retro-pancreatic space, in which metastasis was seen in 3.2% of cases. The mean operation time was 133.4 ± 33.3 min. There was no intraoperative blood transfusion. The average length of hospital stay was 12.9 ± 8.9 days. Postoperative complications occurred in 28 patients, including ascites (24.5%), liver failure (2.2%), and pleural effusion (1.1%). The classification of complications according to Clavien–Dindo indicated: grade I (75%), grade II (21.4%), and grade IIIa (3.6%). There was no perioperative mortality. Conclusion: Anatomical right hepatectomy for hepatocellular carcinoma is feasible, safe, and effective

Article Details

Keywords

anatomical right hepatectomy, hepatocellular carcinoma.

References

1. IARC G (2020), "Cancer fact sheet: Liver caner incidence and mortality wordwide".
2. Takasaki K (2007), Glissonean pedicle transection method for hepatic resection, Springer Science & Business Media.
3. Lê Văn Thành (2013), "Nghiên cứu chỉ định và kết quả phẫu thuật cắt gan kết hợp phương pháp Tôn Thất Tùng và Lortat Jacob trong điều trị ung thư biểu mô tế bào gan", Luận án tiến sĩ Y học - Đại học Quân Y.
4. Vũ Văn Quang (2019), "Nghiên cứu ứng dụng kỹ thuật kiểm soát cuống Glisson theo Takasaki trong cắt gan điều trị ung thư biểu mô tế bào gan tại Bệnh viện Trung ương Quân đội 108", Luận án tiến sĩ Y học.
5. Lee C-W, Tsai H-I, Sung C-M, et al (2016), "Risk factors for early mortality after hepatectomy for hepatocellular carcinoma", Medicine, 95 (39).
6. Trịnh Quốc Đạt (2019), "Nghiên cứu ứng dụng kỹ thuật kiểm soát chọn lọc cuống Glisson trong cắt gan điều trị ung thư tế bào gan", Luận án Tiến sĩ Y học - Đại học Y Hà Nội.
7. Karamarković A, et al (2016), "Suprahilar Control of Glissonean Pedicle in the Open Anatomic Liver Resections: A Single Centre Experience", ournal of Digestive Cancer Reports, 4 (2), pp. 113-121.
8. Yoon Y-I, Kim K-H, Kang S-H, et al (2017), "Pure laparoscopic versus open right hepatectomy for hepatocellular carcinoma in patients with cirrhosis", Annals of surgery, 265 (5), pp. 856-863.
9. Nanashima A, Abo T, Hamasaki K, et al (2013), "Predictors of intraoperative blood loss in patients undergoing hepatectomy", Surgery today, 43 (5), pp. 485-493.
10. Curley S A, Barnett Jr C C, Abdalla E K, et al (2017), "Surgical management of potentially resectable hepatocellular carcinoma", Monografía en Internet] In: Ashley SW, Tanabe KK, editors UpTodate Walthman (MA): UpTodate.