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

摘要： 【摘要】〓目的〓探讨精准半肝切除治疗原发性肝癌的体会。方法〓分析2013年1月至2014年6月在中山市人民医院肝胆外科接受精准半肝切除治疗的30例原发性肝癌患者临床资料。统计分析患者的术中出血量、手术时间、术后住院时间及术后并发症发生情况。结果〓所有患者均顺利完成手术。术中出血量中位数为350(50~800)mL,手术时间为252±98 min,术后住院时间为9.2±0.9 d,患者围手术期无死亡。术后无发生断面出血、腹腔感染及肝功能衰竭等并发症;发生胸腔积液4例,经胸腔穿刺抽液后或保守治疗治愈。发生胆漏1例,经腹腔引流、对症治疗后治愈;肺部感染1例,经抗感染治疗后痊愈。并发症发生率20%(6/30)。2例肝细胞癌伴门静脉癌栓者术后6个月出现肝内复发。结论〓精准半肝切除技术具有设备要求简单、解剖清晰、术中出血少、术后并发症发生率低等优点,在肝癌外科治疗中有重要的临床应用价值。

关键词: 肝切除术, 精准, 原发性肝癌, 手术后并发症