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Abstract
Objectives: To study some clinical and paraclinical characteristics and technical characteristics of hepatectomy surgery treated Perihilar Cholangiocarcinoma.
Methods: Including 9 patients with perihilar cholangiocarcinoma who underwent hepatectomy surgery at Hue Central Hospital from 12.2019 to 6.2023.
Results: The common age in patients ≤ 60 is 66.7%, 2 times more men than women. Jaundice, itching and discolored stools were 100%, 88.9% and 88.9% respectively. The mean CA19.9 was 199.3 ± 15.7 (155 - 760). Tumor size ˂ 4 cm is 88.9% and the detection rate of liver tumor on MRI is 100%. Average surgery time: 365.1 ± 35.7 (315 - 405) minutes, blood loss: 350.5 ± 47.1 (225 - 430)ml. Complications of anastomotic fistula and residual abscess after surgery were 11.1%, respectively. Hospital stay was 11.6 ± 5.5 (11 - 19) days and there was no mortality after surgery.
Conclusion: Symptoms of jaundice and pruritus are common, and computed tomography and magnetic resonance imaging are very valuable in detecting Perihilar Cholangiocarcinoma. Hepatectomy surgery for type III hilar cholangiocarcinoma (Klatskin tumor) can be performed in terminal Hospitals.
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| Published | 28-12-2024 | |
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| Issue | No. 90 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.90.12 | |
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Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital