Kết quả phẫu thuật nội soi cắt gan điều trị ung thư tế bào gan tại Bệnh viện Hữu Nghị Đa khoa Nghệ An=Laparoscopic liver resection for hepatocellular carcinoma treatment at Nghe An General Friendship Hospital

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Tác giả: Anh Xuân Lê, Huy Toàn Nguyễn, Minh Tuấn Phạm, Đạt Bảo Thành Trần, Hồng Quân Trần, Văn Thông Trần, Xuân Công Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.99-103

Bộ sưu tập: Metadata

ID: 477970

Thêm vào giỏ

Đánh giá kết quả bước đầu phẫu thuật nội soi (PTNS) cắt gan điều trị ung thư tế bào gan tại Bệnh viện Hữu nghị Đa khoa Nghệ An. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 36 bệnh nhân (BN) chẩn đoán ung thư biểu mô tế bào gan (UTBMTBG) được điều trị bằng PTNS cắt gan, trong khoảng thời gian từ 9/2020 đến 12/2023. Kết quả: Chúng tôi đã phẫu thuật cho 36 BN HCC, trong đó có 24 (66.7%) nam, 12 (33.3%) nữ
tuổi trung bình 55.1 ± 11.5, thấp nhất 33 tuổi, cao nhất 75 tuổi. 30BN (83.3%) có viêm gan virus B hay C. 100%BN có chức năng gan Child Pugh A (5-7 điểm). 8 BN (22.2%) cắt gan lớn, 28 BN (77.8%) cắt gan nhỏ. Tai biến trong mổ gặp 1 BN tổn thương đường mật khi bộc lộ cuống Glisson, 1 BN rách tĩnh mạch gan trái. Biến chứng sau mổ gặp 2 BN (5.6%) (rò mật, tràn dịch màng phổi). Kết luận: PTNS cắt gan điều trị ung thư biểu mô tế bào gan là phẫu thuật an toàn, hiệu quả, có thể thực hiện đối với nhiều hình thái cắt gan khác nhau, từ đơn giản đến phức tạp, với tỷ lệ tai biến và biến chứng trong giới hạn có thể chấp nhận được.To evaluate the initial outcomes of laparoscopic liver resection for hepatocellular carcinoma (HCC) at Nghe An General Friendship Hospital. Methods: A cross-sectional descriptive study was conducted on 36 patients diagnosed with hepatocellular carcinoma, who underwent laparoscopic liver resection between September 2020 and December 2023. Results: Surgery was performed on 36 HCC patients, including 24 males (66.7%) and 12 females (33.3%), with an average age of 55.1 ± 11.5 years (range: 33-75 years). Of these, 30 patients (83.3%) had hepatitis B or C. All patients had Child-Pugh A liver function (scores of 5-7). Major liver resection was performed in 8 patients (22.2%) and minor liver resection in 28 patients (77.8%). Intraoperative complications included one case of bile duct injury during Glisson pedicle dissection and one case of left hepatic vein laceration. Postoperative complications were observed in two patients (5.6%)—one with bile leakage and one with pleural effusion. Conclusion: Laparoscopic liver resection for hepatocellular carcinoma is a safe and effective procedure, applicable to various types of liver resections, ranging from simple to complex cases, with an acceptable rate of complications.

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