CHARACTERISTICS OF POST-OPERATIVE CARE FOR PATIENTS AFTER HEPATECTOMY FOR HEPATOCELLULAR CARCINOMA TREATMENT AT THE NATIONAL HOSPITAL FOR TROPICAL DISEASES IN 2023
Main Article Content
Abstract
Objectives: To describe the characteristics of post-operative care for patients undergoing hepatectomy for
hepatocellular carcinoma (HCC) at the Hepatobiliary Surgery - Gastroenterology and Oncology Department.
Subjects and methods: This is a cross-sectional descriptive study involving 33 patients who underwent
hepatectomy for hepatocellular carcinoma at the Hepatobiliary Surgery - Gastroenterology and Oncology
Department, Central Tropical Disease Hospital, from March 2023 to September 2023.
Results and conclusions: 100% of patients who underwent hepatectomy for HCC treatment had their vital
signs monitored, with the mean time for passing gas being 2.06 ± 0.7 days, the mean time to resume eating after surgery being 2.85 ± 1.3 days, and the average hospital stay being 19.21 ± 11 days. All patients were able to sit up on the first day after surgery. The care outcomes were rated as good in 97.0% of the cases. The results indicate that comprehensive post-operative care, especially nutritional support and early mobilization, plays a crucial role in the treatment outcome. Further studies are needed to improve nutritional status and enhance the quality of care.
Article Details
Keywords
Patient care, hepatectomy, hepatocellular carcinoma, National Hospital of Tropical Diseases
References
2. Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263.
doi:10.3322/caac.21834.
3. Cancer Today. Accessed November 14, 2024. https://gco.iarc.who.int/today/
4. Mai Hồng Bàng. Điều trị ung thư biểu mô tế bào gan bằng các phương pháp can thiệp qua da. Nhà xuất bản Y học; 2016.
5. Mai Hồng Bàng. Điều trị ung thư biểu mô tế bào gan bằng các phương pháp can thiệp qua đường động mạch. Nhà xuất bản Y học; 2016.
6. Trang NH, Linh LC, Hiển NT, Long ĐS, Thành LV, Quang VV. Đánh giá kết quả chăm sóc bệnh nhân sau phẫu thuật nội soi cắt gan điều trị ung thư biểu mô tế bào gan. J 108 - Clin Med Phamarcy. Published online December 12, 2021. doi:10.52389/ydls.v16i8.980.
7. Ni CY, Wang ZH, Huang ZP, et al. Early enforced mobilization after liver resection: A prospective randomized controlled trial. Int J Surg Lond Engl. 2018;54(Pt A):254-258. doi:10.1016/j.ijsu.2018.04.060.
8. Hiển NT, Vinh TH. Kết quả chăm sóc bệnh nhân sau phẫu thuật cắt gan điều trị ung thư biểu mô tế bào gan. J 108 - Clin Med Phamarcy. Published online November 9, 2020. Accessed November 14, 2024.
https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/1499.
9. Yang R, Tao W, Chen YY, et al. Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy: A meta-analysis. Int J Surg Lond Engl. 2016;36(Pt A):274-282. doi:10.1016/j.ijsu.2016.11.017.
10. Wang L, Li J, Xi R, Guo R. The effect of comprehensive nursing on the postoperative recovery and quality of life of patients undergoing hepatectomy. Int J Clin Exp Med. 2020;13(7):4750-4757.