ỨNG DỤNG PHẪU THUẬT CẮT GAN NỘI SOI ĐIỀU TRỊ UNG THƯ TẾ BÀO GAN TẠI BỆNH VIỆN UNG BƯỚU NGHỆ AN

Abstract

Objectives: This study aims to describe the clinical characteristics of HCC patients undergoing laparoscopic liver resection, as well as report the treatment outcomes. Subjects and Methods: A descriptive, retrospective, and prospective study was conducted on 172 patients with HCC who underwent laparoscopic liver resection. Results: The mean age of the patients was 57.6 years. Among the patients, 91.2% were classified as Child A. The majority of patients (37.2%) had an alpha-fetoprotein (AFP) concentration ranging from 20 to 400. Tumor size greater than 5cm accounted for 37.8% of cases, with 63 out of 172 patients having tumor sizes between 5 and 10cm. Among the patients, 166 (96.5%) underwent pure laparoscopic surgery. Minor liver resections were performed in 60.5% of cases, including 6 patients with caudate segmentectomy (3.7%) and 28 patients with posterior sectionectomy (16.8%), all of which were successfully conducted using pure laparoscopic techniques. Major liver resections accounted for 39.5% of cases, with 24 patients (13.9%) undergoing right hepatectomy, 28 patients (16.3%) undergoing left hepatectomy, 11 patients (6.4%) undergoing central hepatectomy, and 5 patients (2.9%) undergoing extended left liver resection. The average operative time was 113 minutes, the average hospital stay was 7.3 days, and the postoperative complication rate was 8.1%. The median overall survival time was 46.8 months. Conclusion: Laparoscopic liver resection demonstrates several advantages and is a feasible treatment option for hepatocellular cancer.