Đánh giá kết quả sớm của phẫu thuật nội soi cắt gan ứng dụng kiểm soát cuống Glisson theo Takasaki điều trị ung thư biểu mô tế bào gan

Abstract

Objective: To evaluate the short-term outcomes of Takasaki’s glissonean pedicles approach in laparoscopic liver resection for hepatocellular carcinoma. Subject and method: This was a prospective descriptive study of the cases who underwent laparoscopic liver resection using Takasaki’s glissonean pedicles approach for hepatocellular carcinoma in 108 Military Central Hospital from January 2019 to May 2021. Result: Elective surgery was performed for 54 patients. The average age was 56.2 ± 12 years, 90.7% of patients were male; hepatitis B related: 75.9%. The mean AFP was 193.6 ± 490ng/ml. The mean tumor size was 33.7 ± 16.3mm. Type of liver resection: Major hepatectomy (30.8%), small hepatectomy (69.2%). The conversion rate to open was: 3.7%. The median operation time was 194.5 ± 66.2 minutes, the median blood loss was 248.7 ± 171.6ml and the need for blood transfusion was required in  2 (3.8%) patients. The average length of hospital stay was 8.8 ± 3.8 days. Postoperative complications occurred in three patients (5.7%). The classification of complications according to Clavien were: I (33.3%), IIIb (33.3%), IVa (33.3%). There was no perioperative mortality. Conclusion: Laparoscopic liver resection using Takasaki’s glissonean pedicles approach for HCC is a feasible, safe, and effective method.