KẾT QUẢ CẮT GAN ĐIỀU TRỊ MỘT SỐ BỆNH LÝ U GAN LÀNH TÍNH TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: Special description of available clinical, laboratory and results of hepatectomy to treat some types you commonly encounter. Subject and Method: Retrospective description of 86 patients undergoing hepatectomy for benign liver tumors at Viet Duc University Hospital from January 2018 to December 2022. Results: Female/male is 2.4/1, average age is 40.7 ± 12.6 years (10 years - 70 years old). The main reasons for hospitalization were abdominal pain, and accidental discovery of tumors and ruptured liver tumors were 70.9%, 27.9%, and 1.2%, respectively. Computed tomography and magnetic resonance diagnostic accuracy is 87.2%. The rates of hemangioma, HNF, and adenoma were 68.6%, 20.9%, and 10.5%, respectively. Surgery is indicated when the tumor has symptoms (69.77%), ruptured liver tumors, suspected malignancy, tumors increase in size during periodic monitoring, and large hemangiomas. The rates of open and laparoscopic surgery were 64% and 36%, respectively, including 4 cases of laparoscopic surgery converted to open (11.1%). Overall complications were 17.5%, most were mild, 4 cases required re-operation. There were no cases of death after surgery. Conclusion: Hepatectomy is an effective treatment method for benign liver tumors, but there are also complications of hepatectomy, so it should be considered when prescribing surgery.