LI Haoquan , JIANG Jingzhu , WANG Zaiguo , MO Yanxia , YE Zhenwei , CHEN Yunhao
  • Department of Hepatopancreatobiliary Surgery, Dongguan People’s Hospital, Southern Medical University, Dongguan, Guangdong 523059, P. R. China;
WANG Zaiguo, Email: wangzaiguo@sina.com
hepatocellular carcinoma; multidisciplinary team; treatment; effect
10.7507/1007-9424.202207051
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Objective To evaluate the role and value of multidisciplinary team (MDT) in the decision-making for the treatment of elderly patients with large hepatocellular carcinoma (HCC) with multiple organ dysfunction. Method The clinicopathologic data of an elderly patient with large HCC with multiple organ dysfunction admitted to Dongguan Hospital of Southern Medical University were analyzed retrospectively. Results The patient was an 82 years old male patient with asthmatic bronchitis, long-term hormone use, severe pulmonary ventilation dysfunction, moderate pericardial effusion, hypertension, and poor liver function compensation. After MDT discussion including 10 departments and full communication with the patient and his families, the open hepatectomy for hepatic S5 and S4b and cholecystectomy were proposed to perform. The operation process was smooth, and the patient was discharged on the 15th day after the operation without any complications. After discharge, lenvatinib was taken and thymosin alpha for injection was injected. At present, the patient’s quality of life was better, and there was no tumor recurrence or metastasis. Conclusions For the elderly patients with large HCC with severe cardiopulmonary dysfunction, the risk of treatment is higher. By MDT mode, the optimum treatment scheme for patient could be formulated to ensure efficient and accurate diagnosis and ensure high-quality treatment process, so as to maximally benefit patient.

Citation： LI Haoquan, JIANG Jingzhu, WANG Zaiguo, MO Yanxia, YE Zhenwei, CHEN Yunhao. preoperative multidisciplinary team discussion and treatment for an 82 years old patient with large hepatocellular carcinoma complicated with multiple organ dysfunction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(10): 1284-1288. doi: 10.7507/1007-9424.202207051 Copy

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