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Date Published: 15/03/2024
Abstract Views: 71
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DOI: https://doi.org/10.51298/vmj.v536i1B.8764
Issue
Vol. 536 No. 1B (2024)
Section
Các bài báo
How to Cite
Phạm , T. A. ., & Trương , M. C. . (2024). SHORT-TERM OUTCOMES OF ANATOMICAL LEFT HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA. Vietnam Medical Journal, 536(1B). https://doi.org/10.51298/vmj.v536i1B.8764

SHORT-TERM OUTCOMES OF ANATOMICAL LEFT HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA

Thế Anh Phạm , Mạnh Cường Trương

Main Article Content

Abstract

Objective: To evaluate the short-term outcomes of anatomical left 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 December 2023. Result: Elective surgery was performed for 57 patients. The average age was 55.7 ± 13.1 years; 82.5% of patients were male; hepatitis B related: 49.1%. The mean AFP was 681.7 ± 1068.2 ng/ml. Left portal vein thrombosis was seen in 3 patients (5.3%). The mean tumor size in the CT scan was 6.1 ± 3.0 cm. Takasaki’s method was the majority of extrahepatic Glissonean pedicle isolation (91.2%). 21 patients (36.8%) underwent local lymphadenectomy, including lymph nodes at hepatoduodenal ligament, along common hepatic artery and retro-pancreatic space, in which no metastasis was found. The mean operation time was 116.1 ± 30.7 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 II (66.7%), and grade IIIa (33.3%). There was no perioperative mortality. Conclusion: Anatomical left hepatectomy for hepatocellular carcinoma is feasible, safe, and effective.

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References

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