To investigate the application value of precise hepatectomy in primary liver cancer with portal vein tumor thrombi.

Clinical data of ten patients were analyzed retrospectively of liver cancer combined with portal vein tumor thrombi undergoing precise hepatectomy in Zhongshan City People’s Hospital between January 2013 and August 2014. The operation time, intraoperative hemorrhage volume, postoperative complications, postoperative length of hospital stay and follow-up data were recorded.

Hepatectomy was performed successfully in all patients. The incisional margins were detected as negative after tumor resection. No patients died during the perioperative period. The mean operation time was (292±45) min, intraoperative hemorrhage volume was (365±81) ml, postoperative length of hospital stay was (13±3) d. Two cases of pleural effusion postoperatively were cured by conservative treatment. Two patients suffered from tumor recurrence 4 months and 5 months after surgery respectively and died, and the rest recovered well.

The application of precise hepatectomy in primary liver cancer with portal vein tumor thrombi is safe and effective, with advantages of less intraoperative hemorrhage, lower incidence of complications, and faster postoperative recovery.