Recurrence of radical hepatectomy is very high. The authors reported 70 percent or over 70 percent having recurrence. Repeat hepatectomy, not so many but recurrence is as the same at the first hepatectomy. Objectives: 1- The percentage of repeat hepatectomy in the whole recurrence. 2- The complications, the death rate, and the results of repeat hepatectomy.Patients and methods: That is retrospective method. There are 14 cases of repeat hepatectomy in the period of 5 years of radical hepatectomy at Binh Dan hospital, since 2006 to 2010. Repeat hepatectomy bases on number, size and site of tumors
volume of liver
Child-Pugh
extrahepatic metastase and general state of patients. 13 cases of Child-Pugh A, 1 case of Child-Pugh B, good general state, 2 cases of extrahepatic metastases, number of tumor 1-3, right hepatic tumors 10, left hepatic tumors 4, size 1,5cm to tcm are registered. Results: The cases of repeat hepatectomy have 1-3 tumors
tumors is 4 in one segment, 8 in the 2-3 segments, and extrahepatic supracolon 2 with a diameter 1-7 cm
the volume of preserved liver is sufficient
patients are in Child A 13, Child B the time of clotting is good and the tumors are in the right liver 8, in the left liver 3, in the middle liver 1 and extrahepatic 2. Time of repeat hepatectomy is 1,6 the first hepatectomy, blood lost 1,5, no death case. 7 cases is still alive average 43 months, (1 recurrent case), 5 death cases average 10 months, 2 lost of follow-up. Discussion: At Binh Dan hospital, on 2003, a study since 2000 ( 3 years), repeat hepatectomy for 10 cases. The results is good, the same as the first operation. The Japanese authors reported many cases of repeat hepatectomy at the 2nd, and at 3th time, the results are very good, above 50 percent still ative for 5 years. They stressed on the single tumor, the tumor not invade the portal vein, the volume of liver is sufficiency, the liver function Child A, the plan of section 1-2cm from the tumor and the hepatectomy from the anatomic plan. Conclusion: Because the volume of preserve liver and of invaded tumors, bad liver function, repeat hepatectomy about 10-15 percent, but the outcome is good (50 percent alive more than 5 years) and safe.