On August 24, information from Da Nang Hospital said that doctors from the Department of Digestive Surgery had successfully removed a left liver tumor from patient D.ND (61 years old, residing in Quang Xuong District, Thanh Hoa) who had liver cancer and very severe heart failure.
Previously, Mr. D. was hospitalized in the Department of Gastroenterology and was found to have a large, hard, left liver tumor, about 5x5 cm in size. In addition, the patient was also diagnosed with mitral valve regurgitation, tricuspid valve regurgitation, and aortic valve regurgitation, with a left ventricular ejection fraction (EF) of only 25% (normal people are between 50 - 70%).
After treatment, the cardiovascular disease was temporarily stable with EF 35%. Doctors from the Department of Gastroenterology and the Department of Anesthesia and Resuscitation performed anesthesia and left liver resection surgery for the patient. The surgery was successful after more than 2 hours.
After successful liver tumor removal surgery, patient D.ND's health is progressing well.
Master, Doctor Tran Van Nghia (Digestive Surgery Department - Da Nang Hospital), who directly performed the surgery, said that liver resection is a complicated surgery performed on a patient with heart failure, coronary stent placement, EF index of only 35%, and is being treated with anticoagulants and many other supportive drugs... so the risk of bleeding during surgery is very high.
Therefore, it is necessary to avoid large blood loss and excessive fluid transfusion in patients with severe cardiovascular disease. The surgical and anesthesia teams must calculate carefully and accurately to shorten the surgery time and ensure patient safety.
Dr. Phan Trong Nhan (Department of Anesthesiology and Resuscitation - Da Nang Hospital) added that due to concerns about the risk of bleeding due to the use of anticoagulants, anesthesiologists decided to apply a multimodal pain relief strategy with ultrasound-guided peripheral nerve block as the main method.
One day after surgery, the patient was able to move around with the support of doctors from the Rehabilitation Department. Currently, the patient's health is stable, the surgical wound is dry, the skin is healing well, and he can eat and walk well.
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