Mesohepatectomy for large and centrally located hepatocellular carcinoma
10.3760/cma.j.issn.1007-8118.2012.04.002
- VernacularTitle:中肝叶切除治疗中央型大肝癌
- Author:
Lianyue YANG
;
Lei PEI
;
Dipeng OU
;
Wei WU
;
Zhijun ZENG
- Publication Type:Journal Article
- Keywords:
Hepatocellular carcinoma;
Mesohepatectomy;
Hepatic resection;
Survival
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(4):245-248
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of mesohepatectomy for large and centrally located hepatocellular carcinoma.Methods A retrospective study was carried out on 136 pa tients who underwent mesohepatectomy for large and centrally located hepatocellular carcinoma at Xiangya Hospital,Central South University,from 2001 to 2007.Intraoperative/post operative data and long-term survivals were analyzed.Results Vascular occlusion time,operative time,intraoperative blood loss,intraoperative blood transfusion and hospital stay were (13.3 ± 9.1) min,(173.1 ±41.1)min,(548.7±320.5)ml,(511.4±231.7)ml and (18.6±8.8)d,respectively.Four patients developed major complications.There was no in-hospital death.The 1-,3-,and 5-year overall survival rates and disease-free survival rates were 71％,46％,29％ and 65％,40％,24％,respectively.Conclusions Mesohepatectomy for large and centrally located hepatocellular carcinoma preserved the maximum amount of functional liver parenchyma.It is safe and reliable and may be used as the treatment of choice.
