Kết quả chăm sóc bệnh nhân sau phẫu thuật cắt gan điều trị ung thư biểu mô tế bào gan

Abstract

Objective: To evaluate of patient care results after liver resection for hepatocellular carcinoma (HCC) at the Department of Hepatobiliary and Pancreatic Surgery in 108 Military Central Hospital. Subject and method: A descriptive cross-sectional study on 115 HCC patients after hepatectomy at the Department of Hepatobiliary and Pancreatic Surgery, 108 Military Central Hospital from October 2019 to June 2020. Result: The vital signs of the patients in our study were acceptable, post-operative fever on the second and third day were low (4.34%). The rate of redness at the insicion site on the first day after surgery was 10.43%, the rate of stagnant wound fluid point on the second post-operative day was 6.09%; the rate of dry incision when discharge was 100%. 82.61% of patients had daily dressing changes. The timing of drain removal was mainly after 72 hours, accounted for 70.21%. All patients in our study discharged from hospital without drain carrying. The rate of normal post-operative oral feeding on the fourth and fifth day were 83.48% and 94.78%, respectively. 10.43% of patients had superficial wound infections. Conclusion: The study shows that patient care after liver resection for HCC is very important; to detect complications, help patients with pain relief, fast recovery, and contribute to the success of surgery.