Surgical treatment for 42 cases of primary liver cancer

doi:10.3877/cma.j.issn.1674-0793.2011.04.013

Abstract

Abstract:

Objective

To summerize our experience in the surgical treatment of primary liver cancer and to evaluate the theraputic effects of hepatectomy at elevating postoperative survival of patients with primary liver cancer.

Methods

The clinical data of 42 patients received hepatectomy from October 2003 to December 2009 were retrospectively analyzed.

Results

Forty-two cases received hepatectomy operation. Postoperative complications included bleeding in 3 cases, bile leakage in 2 cases, subphrenic effusion in 3 cases, upper gastrointestinal bleeding in 1 case, 1 case of hepatic coma. The mortality was 2.38%. The 1-,2-,3-year postoperative recurrence rate were 14.3%, 35.7% and 42.9% respectively.

Conclusion

Hepatectomy is the chief choice in the treatment of primary liver cancer,which has good efficacy and few complications.

Key words: Primary liver cancer, Hepatectomy

Jun-qiang HE, Xing-gui SU. Surgical treatment for 42 cases of primary liver cancer[J]. Chinese Archives of General Surgery(Electronic Edition), 2011, 05(04): 326-328.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0793.2011.04.013

https://zhptwkxwx.cma-cmc.com.cn/EN/Y2011/V05/I04/326

References 9

1	Bruix J, Sherman M. Management of hepatocellular carcinoma. Hepatology, 2005, 42(5): 1208-1236.
2	雷正明. 原发性肝癌的手术治疗. 肿瘤预防与治疗, 2008, 21(3): 249-252.
3	Melendez JA, Arslan V, Fischer ME, et al. Perioperative outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfusion, and the risk of postoperative renal dysfunction. J Am Coll Surg, 1998, 187(6): 620-625.
4	de Boer MT, Molenaar IQ, Porte RJ. Impact of blood loss on outcome after liver resection. Dig Surg, 2007, 24(4): 259-264.
5	李坚, 张阳德, 刘恕, 等. 选择性半肝血流阻断在肝癌半肝切除术中的应用研究. 中国现代医学杂志, 2006, 16(15): 2331-2333.
6	黄志强. 外科手术学. 3版. 北京: 人民卫生出版社, 2004: 931-932.
7	Maleux G, van Malenstein H, Vandecaveye V, et al. Transcatheter chemoembolization of unresectable hepatocellular carcinoma: current knowledge and future directions. Dig Dis, 2009, 27(2): 157-163.
8	杜临安, 姜波. 肝癌介入治疗的价值及选择. 肝胆外科杂志, 2010, 18(1): 11-14.
9	Chua TC, Liauw W, Saxena A, et al. Systematic review of neoadjuvant transarterial chemoembolization for resectable hepatocellular carcinoma. Liver Int, 2010, 30(2): 166-174.

[1]	Jialong Li, Qinglei Han, Mingjie Song, Yasenjiang Gulimila·, Kai Zhong, Tiemin Jiang, Qiang Guo, Aji Tuerganaili·, Yingmei Shao. Clinical efficacy of Bismuth-Corlette type Ⅱ hilar cholangiocarcinoma patients undergoing extended hepatectomy versus perihilar hepatectomy [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(06): 438-443.
[2]	Qian Yang, Cuifang Li, Wanqiu Zhang. Analysis of short-term and long-term prognosis and influencing factors of primary liver cancer with spontaneous ruptured hemorrhage after emergency TACE surgery [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 33-36.
[3]	Chunrong Wang, Jiang Chen, Chen Yu. Clinical application of laparoscopic anatomic left hemihepatectomy through Glisson pedicle extrathecal anatomy and Laennec membrane approach [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 37-40.
[4]	Duojie Suolang, Hongqiao Gao, Dunzhu Basang, Sang Ren. Clinical analysis of different laparoscopic procedures in the treatment of hepatic cystic echinococcosis in Tibet [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 670-673.
[5]	Haiqin Tang, Xiuzhi Guo, Xiaosu Zhu, Shidi Zhao. Clinical safety study of "tunnel method" laparoscopic anatomic left hemihepatectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 674-677.
[6]	Hao Tang, Ping Liang, Xiaojiang Xu, Kai Zeng, Pohui Wen. The clinical studies of laparoscopic right hemihepatectomy with caudate lobectomy under the guidanceof three-dimensional reconstruction for Bismuth type Ⅲahilar cholangiocarcinoma [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 688-692.
[7]	Zhongyao Chen, Shengdeng Chen, Qiu Li. The effect of different surgical timing on the long-term prognosis of patients with spontaneous rupture and bleeding of primary liver cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 518-521.
[8]	Tingting Li, Heyu Wu, Yue Zhang, Kang Cheng, Xiaofang Zhang, Yachan Cheng. Study on the application of combined insulation strategy in laparoscopic anatomic hepatectomy in elderly patients [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 522-525.
[9]	Bo Liu, Zhijian Tu, Chuanfu Li, Jiangtao Li, Guodong Chen. Robotic anatomic left hemihepatectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 486-486.
[10]	Wenzhong Duan, Yanxia Bai, Wenting Xu, Hongxia Qi, Zhijian Lyu. Anesthetic effects of sevoflurane and propofol in hepatectomy: a Meta-analysis [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 640-645.
[11]	Can Tang, Xiangyang Li, Haoran Qin, Jing Li, Tianyun Wang, Yang Ke, Hong Zhu. Diagnosis, treatment and efficacy analysis of 12 cases of primary hepatic neuroendocrine neoplasm: a single center study [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 674-680.
[12]	Lixin Zhang, Jianjiao Zhu, Jingdong Li. Strengths and weaknesses of robotic hepatectomy [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 477-479.
[13]	Bing Han, Jinyang Gu. Research and application prospect of deep learning neural network in diagnosis and treatments for liver cancer [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 480-485.
[14]	Junyong Ma, Yizhou Wang, Xifeng Li. Brief discussion on prevention and control strategy for bleeding in laparoscopic hepatectomy [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 495-498.
[15]	Shuangxi Li, Zongkai Hu, Jing Zhao. Treatment indications and strategy for hepatic hemangioma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 504-510.

Please choose a citation manager

Content to export