On January 10.1, Dr. Trinh Van Thao, Head of Abdominal Surgery Department, Military Hospital 175, said that the largest liver tumor case had just been operated on at the hospital. Previously, the hospital also successfully operated on many cases of large liver tumors, most recently a case of a right liver tumor weighing 1,65 kg for a 78-year-old male patient.
The special point of this surgery is that the liver tumor was discovered by chance in a very young 24-year-old female patient with a history of bronchial asthma. The liver tumor was imaged, its volume was accurately calculated, and the condition of related blood vessels fully described on the 512-slice CT-Scanner system. It was estimated that the liver tumor weighed up to 3 kg, occupying most of the upper half. abdominal cavity and more than 80% of the entire liver volume, causing compression of blood vessels, making it difficult to access in the usual way and easily causing tumor rupture.
The surgical team collaborated in consultation with Associate Professor Le Van Thanh, Director of the Institute of Digestive Surgery, Central Military Hospital 108, and decided to cut the right lobe of the liver using an anterior approach. This form of liver resection is extremely complicated and difficult to perform with many risks of complications during and after surgery, especially liver failure.
A liver tumor weighing 3 kg was removed from the patient
After more than 2 hours of surgery, the giant liver tumor was completely removed. Postoperative patients are cared for according to the ERAS early recovery program. From the first day after surgery, they can stand, walk and eat by mouth. To date, the patient is completely stable and was discharged from the hospital 7 days after surgery.
According to Dr. Trinh Van Thao, the tumor was determined to be a hepatocellular adenoma (HCA), a rare benign liver lesion, and this is also one of the largest cases of hepatocellular adenoma. recorded until now. Typically, HCA exists alone and is found in young women using estrogen-containing medications.
HCA can cause symptoms of pain and pressure in the right upper abdomen, reducing quality of life, with a 68% risk of rupture causing bleeding or transforming into malignant liver cancer with a rate of 5%. Currently, hepatocellular adenomas are recommended for early surgery for all sizes, especially when the tumor is 5 cm or larger or the tumor has caused complications.
