Kết quả sớm phẫu thuật cắt gan theo giải phẫu điều trị ung thư biểu mô tế bào gan tại Bệnh viện Quân y 175

Abstract

Objective: Short-term outcomes of anatomical hepatectomy to treat hepatocellular carcinoma at 175 Military Hospital. Subject and method: A descriptive, retrospective combined prospective study on 58 patients undergoing anatomical hepatectomy to treat hepatocellular carcinoma at 175 Military Hospital from 01/2022 to 5/2024. Result: Average age: 58.4 ± 13.0 years, age ≥ 60 accounted for 51.7%. 89.7% of patients were men. 60.3% cases were discovered liver tumors accidentally. The incidence of hepatitis B: 82.8%, average AFP index: 658.4 ± 984.4ng/ml. Preoperative computed tomography: Solitary tumor (81.0%), tumor < 5cm (46.6%), tumor > 5cm (53.4%), tumor > 10cm (13.8%), abdominal fluid (6.9%), portal vein thrombosis (3.4%). Preoperative liver function: Child-Pugh A 100%. Major hepatectomy 25.9%, minor hepatectomy 74.1%. The mean operation time was 164.7 ± 38.3 minutes. The mean blood loss was 254.8 ± 94.5ml, the need for blood transfusion was required in 41.4%. The average length of hospital stay was 9.7 ± 4.4 days. Postoperative complications (46.6%) included: Pleural effusion (31.0%), ascites (3.4%), bile leakage (3.4%), wound infection (3.4%), surgical wound dehiscence (5.2%). The classification of complications according to Clavien were: I (34.4%), II (3.4%), IIIa (3.4%), IIIb (5.2%). There was no perioperative mortality. Conclusion: Short-term outcomes of anatomical hepatectomy to treat hepatocellular carcinoma at 175 Military Hospital showed safety and should be performed routinely.