KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT GAN ĐIỀU TRỊ UNG THƯ BIỂU MÔ TẾ BÀO GAN TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: This study aimed to evaluate the feasibility and effectiveness of laparoscopic hepatectomy in the treatment of hepatocellular carcinoma (HCC). Participants and

Methods: A retrospective study was conducted on patients with hepatocellular carcinoma who underwent laparoscopic hepatectomy at Bach Mai Hospital from January 2024 to December 2024.

Results: A total of 35 cases were included. The majority of procedures were left hepatectomies, accounting for 40%. The mean operative time was 80 minutes, and the mean intraoperative blood loss was 187.4 mL. The conversion rate to open surgery was 5.7%, and the mean postoperative hospital stay was 6 days. The overall postoperative complication rate was 14.3%, with postoperative fluid collection being the most common complication. No cases of tumor recurrence or postoperative mortality were recorded. At 12 months, 77.14% of patients were disease-free, and 100% of patients were alive at the time of the study.

Conclusion: Laparoscopic hepatectomy for hepatocellular carcinoma is a feasible and safe procedure, associated with early postoperative recovery and favorable outcomes.