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All Journal Jurnal Konseling dan Pendidikan Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia The New Ropanasuri Journal of Surgery The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Toar J.M. Lalisang
Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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A Glimpse of Liver Resection Profile in An Indonesian Tertiary Hospital: A Retrospective Descriptive Study Vaniara, Florencia V; Lalisang, Arnetta NL; Lalisang, Toar JM; Mazni, Yarman; Putranto, Agi S; Jeo, Wifanto S; Ibrahim, Febiansyah; Syaiful, Ridho A; Sihardo, Lam; Marbun, Vania MG
The New Ropanasuri Journal of Surgery Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. In-depth liver resection profile is needed for evaluation to improve the procedure’s outcome. This study aims to describe the clinical characteristics and outcomes of liver resection in HCC patients in Cipto Mangunkusumo Tertiary Hospital. Methods. This study retrospectively analyzed the clinical data of 19 HCC patients who underwent liver resection in Cipto Mangunkusumo Tertiary Hospital from 2021 to 2024. Demographic, clinical, laboratory, operative, and pathological data were collected. Postoperative complications were assessed using the Clavien-Dindo classification system within 30- and 90-day postoperative periods. Result. Nineteen patients were included, comprising 12 (63.2%) males and 7 (36.8%) females. Sixteen patients (84.2%) had Child-Pugh (CP) class A liver function with 10 (62.5%) CP A(5) patients and 6 (37.5%) CP A(6) patients; 3 (15.8%) patients had CP class B(7). There were 6 (31.6%) patients with thrombocytopenia and 4 (21.1%) patients with portal hypertension. Liver resection was done laparoscopically in 4 (21.1%) patients and with an open approach in 15 (78.9%) patients. Left hepatectomy was done in 3 patients (15.78%), right hepatectomy in 2 (10.5%), right anterior sectionectomy in 4 (21%), left lateral sectionectomy in 1 (5.26%), bisegmentectomy in 1 (5.26%), segmentectomy in 6 (31.58%), and non-anatomical resection in 2 (10.52%). Based on histopathologic examination, HCC was found in 13 (68.41%) patients. Among 19 patients, 12 (63.2%), 5 (26.3%), and 2 (10.5%) patients had 1 tumor, 2 tumors, and 3 tumors respectively (total tumors resected: n=28). About 16 (84.21%) patients had elevated alpha fetoprotein (AFP) (> 10 ng/mL). The mean intraoperative blood loss was 884 mL. No postoperative complications classified as Clavien-Dindo grade I-IV were observed. Two patients (10.5%) experienced postoperative mortality within 90 days (Clavien-Dindo grade V), both due to circulatory failure. Conclusion. This study presents a descriptive overview of liver resection in an Indonesian tertiary hospital. Comparative conclusions should be interpreted with caution due to the limited sample size.
Co-Authors Achir Yani S. Hamid Adeodatus Yuda Handaya Adi Muradi Muhar Adi Wijaya Adi Wijaya Adianto Nugroho Adianto Nugroho Agung Ary Wibowo Akmal Taher Ali Sulaiman Ali Sulaiman Anis Karuniawati Ari F Syam Aria Kekalih Arman A Abdullah Arnetta Naomi Louise Lalisang Arnold Simanjuntak Bakti, Purnama S. Bambang Suprapto Bennardus Philippi Benny Philippi Bernardus Philippi Dahlia, Debie - Dharmika D Erik Prabowo Evi Martha Fransisca J Siahaya Fransiscus Arifin Handaya, Adeodatus Y. Hehuwat, Georgina P. Helen, Helen Husniah Th-Akib I Made Mulyawan Ibrahim, Febiansyah Indah Gianawati Indah S. Widyahening Indah Situmorang Irmia Kusumadewi Irwan Irwan Iswanto, J. Iwan Darmansjah Jeffri Putra Jeo, Wifanto S Jeo, Wifanto S. Johannes Hudiono Kamil, Radhita F. Kunsemedi Setyadi L A Lesmana Lalisang, Arnetta NL Liberty Tua Panahatan Marbun, Vania MG Maria Mayasari Marini Stephanie Matondang, Sahat Mazni, Yarman Michael Tendean Moenadjad, Yefta Muhammad Iqbal Rivai Muhammad Shobachun Niam Mulya, Dina D. Nasution, Safruddin Nurjati C. Siregar Nurjati C. Siregar Pratama, Irfan K. Putranto, Agi S Putranto, Agi S. Raden Sjamsuhidayat Ratna Aryani Ratna Aryani Reno Rudiman Rianto Setiabudy Ristiyanto, Eko Sahat Matondang Saunar, Rofy S. Sihardo, Lam Soehartati Gondhowiarjo Syaiful, Ridho A Tommy Lesmana Tony Loho Usman, Nurhayat Vaniara, Florencia V Warsinggih Warsinggih Wibowo, Taufik A Wicaturatmashudi, Sukma Yarman Mazni Yarman Mazni Yefta Moenadjad Yefta Moenadjat