Page 255 - ebook HCC

GENEVA, SWITZERLANDA, SWITZERLAND
PROGRAMME
EASL
252 PROGRAMME AND ABSTRACTSAND ABSTRACTS GENEV EASL HCC SUMMITHCC SUMMIT 253
252
253
FEBRUARY 13 - 16, 2014Y 13 - 16, 2014
FEBRUAR
Poster Board Number C36 Poster Board Number C37
COMPLETE CAUDATE LOBECTOMY VIA SELF-EFFICACY IN COPING WITH CANCER
ANTERIOR APPROACH FOR TUMORS IN OR AFFECTING THE MENTAL RELATED QUALITY
INVOLVING THE PARACAVAL PORTION: A OF LIFE IN LIVER CANCER PATIENTS AFTER
SINGLE CENTER EXPERIENCE WITH 63 CASES RECEIVING TREATMENTS

Weiping Zhou , Zhenguang Wang , Joseph W.-Y. Lau 2 Shiow-Ching Shun , Yeur-Hur Lai , Chien-Hung Chen 2
1
1
1
1
1 The Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, 1 Department of Nursing, Department of Medicine, National Taiwan University,
2
Second Military Medical University, Shanghai 200438, China, Shanghai, China, Faculty Taipei, Taiwan
2
of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong
Kong, Hong Kong Corresponding author’s e-mail: scshun@ntu.edu.tw
Corresponding author’s e-mail: ehphwp@126.com
Introduction: Many patients with hepatocellular carcinoma (HCC) frequently received
medical treatments because of its high recurrent rate. However, the short stay of
Introduction: Caudate lobectomy via anterior approach is a proper but technically hospitalization and unpredictability of treatment outcome, the self-efficacy in cancer care
demanding operation for tumors in the paracaval portion. Our objective was to share our might be the important role affecting the level of quality of life after discharge.
experiences and surgical tips on caudate lobectomy via anterior hepatic transection.
Aims: Caudate lobectomy via anterior approach is a proper but technically demanding Aims: The aim of this study was to identify if the self-efficacy in coping with cancer before
operation for tumors in the paracaval portion. Our objective was to share our experiences discharge was associated with health-related quality of life in liver cancer patients after
and surgical tips on caudate lobectomy via anterior hepatic transection. receiving non-surgical treatments including transcathether hepatic chemoembolization,
percutaneous ethanol injection, and radiofrequency ablation.
Methodology: From August 2004 to September 2013, there were 63 cases of caudate Methodology: Data were collected three times including the day before discharge (T1),
lobectomy via anterior approach performed in our department. Clinicopathologic correlates, and eighth (T2) weeks after discharge by using a set of structured questionnaires to assess
surgical correlates, complications and survival were analyzed. patients’ care quality of life, symptom distress, fatigue, anxiety, depression, and level of
self-efficacy in a teaching hospital in Northern Taiwan. Health-related quality of life and
Results: All 63 cases of caudate lobectomy via anterior hepatic transaction were its associated factors were examined by descriptive analysis and the significant factors
CLINICAL POSTER ABSTRACTS was 205 minutes in median (range, 120-445 minutes) and blood loss was 800 ml in median Results: Patients with liver cancer (N = 114) reported that fatigue was the most distressed CLINICAL POSTER ABSTRACTS
associated with the level of quality of life at T3 were identified by multiple regression.
succeeded performed without perioperative death. The median age was 47 years (range,
18-68 years) and the median tumor size was 9.2 cm (range, 3-30 cm). The operating time
(range, 200-5000 ml). There were 36 patients (57.1%) who received blood transfusion
symptom after treatment. Self–efficacy at T1 was associated with the level of anxiety (r
in operation. 8 patients (12.7%) received isolated complete caudate lobectomy while 55
= -0.247, p = 0.020) and physical and mental related quality of life at two months after
patients (87.3%) took mesohepatectomy plus complete caudate lobectomy. The morbidity
treatment (T2). However, after controlling other associated factors, the level of self-
of the postoperative complications was 42.9%. We performed the hepatic parenchymal
transection using clamp-crush method (N=47) and ultrasonic scalpel (N=16). Patients in
mental related quality of life (QOL) at 8 weeks after treatment.
the ultrasonic scalpel group had less morbidity of surgical complications (morbidity: 18.8% efficacy (β =0 .115, p < 0.005) before discharge was significant factor associated with
versus 51.1%, P=0.024) and less severe complications (P=0.041).
Conclusions: The level of self-efficacy in coping with cancer before discharge is an
important factor to affect the level of mental –related QOL after 8 weeks of treatment.
Conclusions: The technique for caudate lobectomy via anterior hepatic transection can
improve the success and safety for resection of tumors from the paracaval portion. Using Therefore, health providers should closely assess the self-efficacy in coping with cancer
ultrasonic scalpel during hepatic parenchymal transection can help to save the vascular after discharge in order to improve their mental-related QOL after discharge.
exclusion time and operation time, reduce the morbidity of surgical complications.