Resection of centrally located primary liver cancer / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
; (6): 460-464, 2008.
Article
em Zh
| WPRIM
| ID: wpr-270669
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the experience of hepatectomy for patients with centrally located primary liver cancer.</p><p><b>METHODS</b>The clinical data of patients with centrally and non-centrally located primary liver cancer were retrospectively reviewed. The biochemical indicators, operation duration, hepatic inflow occlusion time, hospital stay, operative blood loss, amount of blood transfusion, complication, and effectiveness of three occlusion methods (semi-hepatic inflow occlusion, Pringle's manoeuvre, and modified Pringle's manoeuvre) were analyzed.</p><p><b>RESULTS</b>Tumor diameter, Child-Pugh score, indocyanine green retention rate, aspartate aminotransferase, alanine aminotransferase, glutamyltransferase, total bilirubin, direct bilirubin, albumin, prealbumin, cholinesterase, hepatic inflow occlusion time, blood transfusion, postoperative complications, and operative blood loss were not significantly different between patients with centrally and non-centrally located primary liver cancer. Patients with centrally located liver cancer had significantly longer operation duration and hospital stay than patients with non-centrally located liver cancer (P < 0.05). The modified Pringle's manoeuvre of hepatic inflow occlusion had the same effectiveness of the Pringle's manoeuvre and could be performed in a simpler way.</p><p><b>CONCLUSIONS</b>Hepatectomy is safe and feasible for patients with centrally located primary liver cancer. Appropriate preoperative evaluation and preparation, sufficient knowledge of liver anatomy, and proper selection of hepatic inflow occlusion method are key factors to guarantee the success of the resection.</p>
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
/
Cirurgia Geral
/
Terapêutica
/
Estudos de Casos e Controles
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Hepatectomia
/
Testes de Função Hepática
/
Neoplasias Hepáticas
/
Métodos
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
Zh
Revista:
Acta Academiae Medicinae Sinicae
Ano de publicação:
2008
Tipo de documento:
Article