Kết quả sớm của phẫu thuật cắt gan điều trị u nguyên bào gan ở trẻ em

Abstract

Objective: To evaluate the early results after liver resections for hepatoblastoma patients at National Children Hospital from 1/2016 to 8/2019. Subject and method: A total patients with operated Hepatoblastoma diagnosed by pathologists, at the Viet Nam National Children’s Hospital from January 2016 to August 2019. The study design is retrospective. Result: From January 2016 to August 2019, 29 children were operated for Hepatoblastoma at Surgical Department of Viet Nam National Children’s Hospital. There were 16 boys (55.2%) and 13 girls (44.8%) with the mean age was 37.3 ± 36.2 months, almost occurs the children under 2 years-old (55.2%). Mean size of the tumors was 5.5 ± 2.9cm. Right hemihepatectomy was performed in 14 patients (48.3%), left hemihepatectomy was performed in 6 patients (20.7%), extended right hepatectomy was performed in 2 patients (6.9%), left lobectomy was performed in 2 patients (6.9%) and segmentectomy was performed in 5 patients (17.2%). There was no mortality perioperative but 1 patient (3.4%) had inferior vena cava (IVC) replacement for malignancy and 1 patient (3.4%) prolonged postoperative perihepatic fluid collection, resolved by medical treatment. Mean postoperative study in surgical department was 6.1 ± 1.7 days. Conclusion: Our results shows that hepatic resections for treatment of hepatolastoma in children can be done with no mortality and minimal complication.