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Date Published: 05/05/2024
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DOI: https://doi.org/10.51298/vmj.v538i1.9326
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Vol. 538 No. 1 (2024)
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Các bài báo
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Nguyễn, H., & Trịnh, H. S. (2024). POST HEPATECTOMY COMPLICATION WITH PREOPERATIVE TRANSARTERIAL EMBOLIZATION OF HEPATOCELLULAR CARCINOMA. Vietnam Medical Journal, 538(1). https://doi.org/10.51298/vmj.v538i1.9326

POST HEPATECTOMY COMPLICATION WITH PREOPERATIVE TRANSARTERIAL EMBOLIZATION OF HEPATOCELLULAR CARCINOMA

Hoàng Nguyễn, Hồng Sơn Trịnh

Main Article Content

Abstract

Objectives: To describe the clinical, paraclinical and complications of hepatectomy with transarterial chemoembolization (TACE) pre operation for hepatocellular carcinoma (HCC). Methods: A prospective descriptive study on 44 patients HCC with preoperative TACE. Results and discussion: Mean age 48,8±13 . Ratio Female/Male = 4/1. The rate of patients with hepatitis B was 41 patients (89.1%), and hepatitis C was 2 patients (4,3%). Most patients without syndromes. The rate of increased AFP was 29 patients (60,9%). There were 25 patients (54,3%) had TACE once and 21 patients (45,7%) had TACE more than once. The majority of patients had major hepatectomy, up to 28 patients (60.9%), the necrosis tumor rate was less than 100% in 36 patients (78,3%). The rate of complications in our study was 10,9% in 5 patients, of which the main complications were pleural effusion in 4 patients (8,7%), 2 patients with liver failure after surgery. (4,3%) and 1 case of acute renal failure (2,2%). Conclusions: Hepatectomy with TACE preoperation has a low complication rate, the complications are mainly minor complications and preoperative TACE increases the rate of patients undergoing surgery, improve postoperative survival.

Article Details

Keywords

Hepatocellular carcinoma, transarterial chemoembolization (TACE).

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