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Date Published: 15/05/2024
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DOI: https://doi.org/10.51298/vmj.v538i3.9633
Issue
Vol. 538 No. 3 (2024)
Section
Các bài báo
How to Cite
Phạm, T. A., & Trịnh , H. P. (2024). SHORT-TERM OUTCOME OF LEFT LATERAL SECTIONECTOMY FOR HEPATOCELLULAR CARCINOMA. Vietnam Medical Journal, 538(3). https://doi.org/10.51298/vmj.v538i3.9633

SHORT-TERM OUTCOME OF LEFT LATERAL SECTIONECTOMY FOR HEPATOCELLULAR CARCINOMA

Thế Anh Phạm, Huy Phương Trịnh

Main Article Content

Abstract

Objective: Hepatectomy is a curative treatment option for hepatocellular carcinoma (HCC). This study aimed to evaluate the early outcomes of left hepatectomy for HCC at K Hospital. Patients and methods: A retrospective cohort study was conducted on 47 patients who underwent left hepatectomy for HCC at the Department of Hepatobiliary and Pancreatic Surgery, Hospital K, from October 2021 to December 2023. Results: The male-to-female ratio was 3.7:1. The mean age was 59.9 years. Hepatitis B virus infection was present in 78.7% of patients. The most common reason for admission was incidental detection of liver tumor (55.3%). The mean AFP level was 667.3 ± 1740.9 ng/ml; the mean tumor size on computed tomography was 3.9 ± 2.0 cm. The majority of patients underwent a midline supraumbilical incision (89.4%). Total hepatic pedicle clamping was performed in 21.3% of patients. The mean operation time was 83.6 ± 26.1 minutes. The mean Pringle maneuver time was 11.3 ± 5.5 minutes. There were no cases of intraoperative complications or blood transfusion. No postoperative complications were observed. The mean postoperative hospital stay was 6.6 ± 1.6 days. Conclusion: Left hepatectomy for HCC is a safe and effective procedure with good early outcomes.

Article Details

Keywords

Left lateral sectionectomy, hepatocellular carcinoma.

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