73-year-old patient with liver tumor weighing nearly 2kg

SGGPO 08/04/2023 11:08

After a nearly 4-hour surgery, the tumor was completely removed, weighing 1.65kg. This is the largest liver tumor ever surgically removed at Military Hospital 175.

On August 4, Military Hospital 175 (Ministry of National Defense) announced that it had successfully performed surgery on patient N.D.B. (73 years old, living in Ho Chi Minh City) with a giant liver tumor measuring 15x20cm and weighing 1.65kg.

The doctor is examining the patient.

Through medical history, the patient had hypertension, type 2 diabetes for many years, and asymptomatic congenital ventricular septal defect. The patient was diagnosed with hepatocellular carcinoma more than a year ago and had undergone transarterial chemoembolization (TACE) 4 times.

This time, the patient was admitted to the hospital with a large abnormal mass in the right half of the abdomen. The patient then underwent an abdominal CT scan, which revealed that the abnormal mass was a multifocal liver tumor measuring about 15x20cm located in segments 5, 6, and 7 of the liver. The tumors were still active, and there were embolization materials inside the tumor.

Realizing that the liver tumor was too large and could sooner or later endanger the patient's life, doctors from the Department of Abdominal Surgery, Military Hospital 175 held a consultation to propose a surgical plan and anticipate possible situations for the patient. At the same time, the patient had his liver volume measured and a cardiovascular specialist examined to control any underlying diseases before surgery.

The surgical team included Colonel, Dr. Trinh Van Thao, Head of the Department of Abdominal Surgery, along with Major, Master, Doctor Nguyen Van Manh; Captain, Doctor Nguyen Van Quynh and Doctor Nguyen Manh Khoe. During the surgery, the patient had a large liver tumor removed from segments 5-6 and part of segment 7.

After a nearly 4-hour surgery, the tumor was completely removed, weighing 1.65 kg. This is the largest liver tumor to be operated on at Military Hospital 175. The patient's postoperative course was stable, with oral feeding and early mobility from the first day after surgery, and he was discharged 6 days after surgery.

According to Colonel, Dr. Trinh Van Thao, Head of the Department of Abdominal Surgery, Military Hospital 175, major liver resection has many potential post-operative risks for patients and is still a challenge for many surgical centers. This is a case of an elderly patient, thin, with many underlying diseases.

Initially, doctors were also concerned about the risks that could occur during and after surgery. However, with the determination of the surgical team, the patient and his family, the surgery was successful, and the post-operative process was also favorable, without any complications.

“People need to have regular health check-ups every year, especially those with hepatitis B, C, etc., to detect liver tumors and treat them promptly,” Colonel, Dr. Trinh Van Thao recommended.

Source: https://www.sggp.org.vn/benh-nhan-73-tuoi-mang-khoi-u-gan-nang-gan-2kg-post700244.html