EARLY RESULTS OF ANATOMICAL HEPATECTOMY FOR INTRAHEPATIC CHOLANGIOCARCINOMA IN K HOSPITAL

Mạnh Cường Trương 1, Thế Anh Phạm 1,
1 Vietnam National Cancer Hospital

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Abstract

Objective: Curative surgery is recommended as an effective treatment for improving survival time for intrahepatic cholangiocarcinoma. This study was conducted to evaluate the early results of anatomical hepatectomy for intrahepatic cholangiocarcinoma. Materials and methods: A retrospective descriptive study was conducted at the Department of Hepatobiliary and Pancreatic Surgery - K Hospital from January 2021 to December 2023 and consisted of 33 patients undergoing anatomical hepatectomy for ICC-proven by histopathological examination. Results: The mean patient age was 58.8 ± 11.1 years. 18.2% presented chronic hepatitis B and C virus. All patients had normal preoperative liver function (Child A 100%). Right hepatectomy and left hepatectomy concerned 42.4% and 57.6% of cases, respectively. The median postoperative hospital stay was 15.7 ± 12 days. Postoperative complications occurred in 18.1% of patients, including post-hepatectomy liver failure (3.0%), ascites (9.1%), sepsis (3.0%), and pneumonia (3.0%). There was no perioperative mortality. Lymph node metastasis was found in 45.5% of cases. Conclusion: Anatomical hepatectomy with lymph node dissection is a safe and effective procedure for ICC with low postoperative complication rates.

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References

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