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Date Published: 15/02/2024
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DOI: https://doi.org/10.51298/vmj.v535i1B.8450
Issue
Vol. 535 No. 1B (2024)
Section
Các bài báo
How to Cite
Vũ, V. Q., & Nguyễn, H. N. A. (2024). EFFECTIVENESS OF THE ALBUMIN-BILIRUBIN SCORE (ALBI) IN PREDICTING EARLY RECURRENCE AFTER HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA. Vietnam Medical Journal, 535(1B). https://doi.org/10.51298/vmj.v535i1B.8450

EFFECTIVENESS OF THE ALBUMIN-BILIRUBIN SCORE (ALBI) IN PREDICTING EARLY RECURRENCE AFTER HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA

Văn Quang Vũ, Hoàng Ngọc Anh Nguyễn

Main Article Content

Abstract

Objective: Evaluate the effectiveness of the Albumin-Bilirubin score (ALBI) in predicting early recurrence after hepatectomy for hepatocellular carcinoma at Central Military Hospital 108. Materials and methods: Retrospective study of patients with  hepatocellular carcinoma underwent Takasaki’s Glissonean pedicle transection in open hepatectomy from January 2016 to December 2022 at Central Military Hospital 108. Results: 231 patients underwent Takasaki’s Glissonean pedicle transection in open to treat squamous cell carcinoma, the mean was 55.13 years old, the male ratio was 87.0%. The mean size of liver tumors is 61.36mm. The average ALBI score was 2.66 ± 0.4; ALBI grade 1 accounts for the majority of 61.0%. Postoperative complication rate was 18.2%, the overall recurrence rate was 43.7%, and early recurrence rate was 15.6%. The overall survival rate after 5 years is 66.8%, the overall survival time after surgery is estimated at 74.6 ± 2.2 months. Through univariate regression analysis, the ALBI score was related to the rate of early relapse in the study with p < 0.05. An increase of 1 unit in the ALBI score increased the risk of early relapse 2,558 times. Conclusion: The ALBI score is a good prognostic factor used to assess the risk of early recurrence before hepatectomy for hepatocellular carcinoma.

Article Details

Keywords

Albumin-Bilirubin scale, hepatocellular carcinoma, early recurrence.

References

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