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Date Published: 10/06/2024
Abstract Views: 57
Views pdf: 31
DOI: https://doi.org/10.51298/vmj.v539i2.9804
Issue
Vol. 539 No. 2 (2024)
Section
Các bài báo
How to Cite
Phạm, T. A., & Vũ, Đức T. (2024). SHORT-TERM OUTCOMES OF ANATOMICAL MINOR HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA. Vietnam Medical Journal, 539(2). https://doi.org/10.51298/vmj.v539i2.9804

SHORT-TERM OUTCOMES OF ANATOMICAL MINOR HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA

Thế Anh Phạm, Đức Trung Vũ

Main Article Content

Abstract

Objective: To evaluate the short-term outcomes of anatomical minor hepatectomy for hepatocellular carcinoma (HCC). Subject and method: This was a retrospective descriptive study of the cases who underwent anatomical minor hepatetomy for hepatocellular carcinoma at the Department of Hepatobiliary and Pancreatic Surgery, K Hospital from November 2017 to November 2023. Result: Elective surgery was performed for 127 patients. The average age was 58,4 ± 10,9 years; 86,6% of patients were male; hepatitis B related: 77,2%. The mean AFP was 524,4 ± 1225,2 ng/ml. Portal vein thrombosis was seen in 10 patients (7,9%).  The mean tumor size in the CT scan was 4,1 ± 1,9 cm. Right anterior sectionectomy, left latertal sectionectomy and right posterior sectionectomy accounted for 37%, 37% and 26%, respectively. J-shape was the most common incision, with 53,3%. The mean operation time was 133,0 ± 58,8 min. There was no intraoperative blood transfusion. Postoperative complications that occurred in 26 patients (20,5%) including ascites (14,2%), pleural effusion (7,1%), liver failure (3,9%) and surgical site infection (3,1%). The classification of complications according to Clavien was: I (27,6%), II (69,3%) and IIIa (3,1%). There was no perioperative mortality. The average length of hospital stay was 9,5 ± 5,8 days. Conclusion: Anatomical minor hepatectomy for hepatocellular carcinoma is a feasible, safe, and effective method.

Article Details

Keywords

minor hepatectomy, anatomical liver resection, hepatocellular carcinoma.

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