关键词: 肝切除术, 精准, 原发性肝癌, 手术后并发症

Abstract: 【Abstract】〓Objective〓To investigate the effect of precise hemi-hepatectomy in the treatment of primary liver cancer. Methods〓Clinical data of 30 patients who received precise hemi-hepatectomy in Department of Hepatobiliary Surgery,the Zhongshan People?蒺s Hospital from January 2013 to June 2014 were analyzed retrospectively..Intraoperative blood loss,.operative time,.and postoperative hospital stay and postoperative complications were recorded and analyzed. Results〓All the operations were successful. The median volume of intraoperative blood loss was 350 (50-800) ml, operative time was (252±98).min,.the postoperative hospital stay was 9.2±0.9 days..No death occurred during the perioperative period..No liver cross section bleeding,.peritoneal infection,.liver failure occurred in patients after operation..Four cases of pleural effusion postoperatively were cured by thoracentesis or conservative treatment..One case suffered from bile leakage and was cured by peritoneal drainage and symptomatic treatment..One case suffered from pulmonary infection and was cured by anti-infection treatment. The incidence of complications was 20% (6/30). Two patients with portal venous tumor emboli suffered from intrahepatic recurrence in 6 months after surgery. Conclusion〓Precise hemi-hepatectomy has the advantages of simple requirement of equipment, clear anatomy, less intraoperative bleeding, low incidence of postoperative complications, which has a important clinical application value in the surgical treatment of liver cancer.

Key words: Hepatectomy, precise, Primary liver cancer, Postoperative, Complications