The results of liver resection with intraoperative ultrasound for hepatocellular carcinoma

  • Vũ Văn Quang Bệnh viện Trung ương Quân đội 108
  • Đặng Kim Khuê Trường Đại học VinUni

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Keywords

Hepatocellular carcinoma, intraoperative ultrasound, liver resection

Abstract

Objective: To evaluate the results of liver resection with intraoperative ultrasound for hepatocellular carcinoma. Subject and method: A prospective observational study enrolled 91 patients underwent liver resection for hepatocellular carcinoma with intraoperative ultrasound at 108 Military Central Hospital. Result: There were 80 males, and 11 females patients with average age of 51.6 ± 11.7. The chronic HBV infection rate was 71%, AFP level more than 400ng/ml found in 33 patients (33.4%). Major hepatectomy rate was 30.8%, minor hepatectomy rate was 69.2%. Intraoperative ultrasound detected new tumors in 12% cases and changed the operative plans in 11% of cases. Average operation time: 169.5 ± 98 minutes, average blood loss: 240.6 ± 196ml, with 03 cases required intraoperative blood transfusion. There was no mortality, and 15.4% morbidities, in which, majority were pleural effusion. Median of hospital stay was 10 days. Conclusion: Intraoperative ultrasound is simple and feasible. The liver resection operation with intraoperative ultrasound helps the surgeon to determine correct stage and operate radically

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References

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