OUTCOMES OF LIVER RESECTION FOR HEPATOCELLULAR CARCINOMA AT CAN THO CENTRAL GENERAL HOSPITAL AND CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL
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Abstract
Background: Hepatectomy is one of the three radical treatments for hepatocellular carcinoma (HCC) in the early or intermediate stages, well-preserved liver function, and good health status. Objectives: The aims of this study were to evaluate the outcomes of hepatectomy for HCC, the complication rate, overall survival time, and related factors. Materials and methods: This was a research of 37 patients who underwent hepatectomy at Can Tho Central General Hospital and Can Tho University of Medicine and Pharmacy Hospital, during the period between February 2018 and April 2020. Results: The average age was 60.76 and the male/female ratio was 2/1; the majority of patients hospitalized due to abdominal pain accounted for 73%. The patients who had positive HBsAg and anti-HCV were 64.9% and 35.1%, respectively. 32.5% patients had AFP > 400 ng/ml; Almost patients had the well-preserved liver function. Postoperative mortality and morbidity were 2.7% and 21.6%, respectively. The 1-year and 2-year survival time after surgery were 85.6% and 63.2%, respectively. There were no significant correlations between the patient’s age, HbsAg and AFP level with survival time. There was significant correlation between the liver function expressed on the Child-Pugh scale and the overall survival time. Conclusions: Nowadays, liver resection for hepatocellular carcinoma are remarkably effective with controllable postoperative mortality and complications. Surgical therapy for hepatocellular carcinoma gives good chance for HCC patients to survival.
Keywords
Hepatectomy, hepatocellular carcinoma, results
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