ISSN: 1859 - 2872
The results of liver resection with intraoperative ultrasound for hepatocellular carcinoma
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Abstract
Objective: To evaluate the results of liver resection with intraoperative ultrasound for hepatocellular carcinoma. Subject and method: Prospective observational study enrolled 50 patients underwent liver resection for hepatocellular carcinoma with intraoperative ultrasound in Viet Duc University Hospital and 108 Military Central Hospital. Result: There were 41 male, and 9 female with average age of 50.2 ± 11.6. The chronic HBV infection rate was 92%, AFP level more than 400ng/ml found in 16 patients (32%). Major hepatectomy rate was 34%, minor hepatectomy rate was 66%. Intraoperative ultrasound detected new tumors in 12% cases, and changed the operative plans in 24% of cases. Average operation time: 197.5 ± 69 minutes, average blood loss: 220.6 ± 156ml, no intraoperative blood transfusion required. There was no mortality, and 28% morbidities, in which, majority were pleural effusion. Median of hospital stay was 10 days. Conclusion: Liver resection with intraoperative ultrasound is simple and feasible which helps the surgeon to determine the correct stage of disease and operate radically.
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References
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