RESULTS OF HEPATECTOMY FOR THE TREATMENT OF HEPATOCELLULAR CARCINOMA AT THONG NHAT HOSPITAL
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Abstract
Objectives: To evaluate the early results of anatomical hepatectomy in treating hepatocellular carcinoma. Methods: A retrospective, descriptive study was conducted on 73 cases who underwent anatomical hepatectomy to treat hepatocellular carcinoma at Thong Nhat Hospital from August 2022 to August 2024. Result: The average age was 63.1 ± 17.5 years old, 72.6% were males. The incidence of viral hepatitis (B or C) was 65.8%. Increased AFP concentration accounted for 63.0%. The average number of tumors was 1.3 ± 0.3. The average tumor size was 4.3 ± 1.4cm. 87.7% of patients had two or more liver segments removed. The mean operation time was 253.2 ± 58.3 minutes; the mean blood loss was 215.6 ± 72.3mL. The average length of postoperative hospital stay was 12.2 ± 5.6 days. Postoperative complications (23.3%) included liver failure (1.4%), bleeding (2.7%), bile leak (2.7%), surgical wound infection (6.8%), pneumonia (1.4%), and pleural effusion (9.5%). Conclusion: Anatomical hepatectomy for the treatment of hepatocellular carcinoma is safe and feasible. It is necessary to monitor and evaluate the long-term outcomes of patients.
Article Details
Keywords
Anatomical hepatectomy, Hepatocellular carcinoma, Hepatitis B
References
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