First time using ultrasonic scalpel for liver cancer surgery in Mekong Delta

On August 6, Dr. Pham Thanh Phong, Deputy Director of Can Tho Central General Hospital, said that the hospital has successfully deployed the CUSA (Cavitron Ultrasonic Surgical Aspirator) ultrasonic scalpel system in liver resection surgery for liver cancer patients. This is the first time this technology has been applied in the Mekong Delta.

Lần đầu sử dụng dao mổ siêu âm CUSA phẫu thuật ung thư gan ở ĐBSCL - Ảnh 1. — Doctors at Can Tho Central General Hospital use the CUSA ultrasonic scalpel system to perform liver resection surgery on a patient with liver cancer.

Previously, a 57-year-old male patient, residing in Can Tho City, was transferred from a local medical facility to Can Tho Central General Hospital with a diagnosis of hepatocellular carcinoma measuring 64 x 67 mm, localized in the right liver segment VII-VIII. After consulting with specialists, the patient was indicated for radical right liver resection surgery using a CUSA ultrasonic scalpel to assist in separating the liver parenchyma... Afterwards, the surgery was performed safely, with little blood loss and no significant complications recorded. The patient recovered well after surgery and is expected to be discharged in the next few days.

Lần đầu sử dụng dao mổ siêu âm CUSA phẫu thuật ung thư gan ở ĐBSCL - Ảnh 2. — The patient's health recovered well after liver resection surgery.

Dr. Nguyen Khac Nam, Deputy Head of the Department of General Surgery, Can Tho Central General Hospital, said that liver resection is still considered a radical treatment for liver cancer, with about 60.8% - 74% of patients being able to maintain a 5-year survival rate after surgery.

However, liver resection is a complex surgery due to difficulties in determining anatomical boundaries and bleeding. In that context, with the effective support of the CUSA ultrasonic scalpel applying the Cavitron effect, it has helped to expose and preserve the biliary pedicles, especially the small blood vessels and bile ducts in the liver. Maximum preservation of the biliary pedicles also helps to preserve good liver parenchyma, limit complications of postoperative liver failure, and control the liver resection area well to ensure safe liver resection margins and limit recurrence.

In addition, with outstanding advantages such as high accuracy to clearly distinguish diseased and healthy tissue, optimize tumor removal and maximize preservation of healthy liver, while reducing blood loss due to has the ability to stop bleeding at the site, reducing the risk of bleeding, which is especially important in complex liver surgeries, causing less damage to large blood vessels and bile ducts, reducing the risk of bile leakage or postoperative bleeding.

In addition, the CUSA ultrasonic scalpel also has a wide range of applications, effectively used in many specialized surgeries such as: Resection of central liver cancer, intrahepatic or hilar bile duct cancer, liver transplantation from living donors... In particular, this device is very suitable for minimally invasive laparoscopic surgery.

Progress in liver transplant preparation roadmap in Mekong Delta

Nationwide, there are currently about 40 CUSA ultrasonic scalpel systems equipped at central hospitals such as: Viet Duc Hospital, Cho Ray Hospital, Hue Central Hospital, Hospital 108, University of Medicine and Pharmacy, Ho Chi Minh City... Putting this system into operation at Can Tho Central General Hospital not only helps improve the professional capacity of hepatobiliary surgery in the Mekong Delta but also contributes to reducing the load on upper levels.

In particular, in the hospital's in-depth development strategy, mastering the CUSA ultrasonic scalpel system is an important step in the preparation roadmap for liver transplantation, one of the key goals of the Mekong Delta healthcare system.

Source: https://thanhnien.vn/lan-dau-tien-dung-dao-mo-sieu-am-phau-thuat-ung-thu-gan-o-dbscl-185250806103309278.htm