Application of precise hepatectomy for hepatocellular carcinoma with a diameter above 10 cn

VernacularTitle:精准肝切除在肝脏巨大肿瘤手术中的应用
Author: Yi JIANG ; Fang YANG ; Fan PAN ; Lizhi Lü
Publication Type:Journal Article
Keywords: Hepatic neoplasns; Precise hepatectomy; Medical image three dimensional reconstruction
From: Chinese Journal of Digestive Surgery 2012;11(1):52-54
CountryChina
Language:Chinese
Abstract: Hepatectomy is the treatment of choice for huge ( ＞ 10 cm) hepatocellular carcinoma.However,the resection is more difficult and risky due to a huge space occupied by the tumor and vascular invasion.Precise hepatectomy is a new concept of liver surgery in the 21st century.The goal of which is the least invasive,most parenchymal preserving and optimal recovery.A male patient with a huge hepatocellular carcinoma (diameter =22.5 cm) received precise hepatectomy in the Department of Hepatobiliary Surgery of Fuzhou General Hospital of Nanjing Military Area.By using the digital medical technology and procedure of liver surgery planning system,the tumor and the whole structure of the liver were three dimensionally reconstructed,and the planning of resection was made.During surgery,the right liver artery and the right.porta hepatis were ligated and the right hemihepatic vessels were occluded.We accomplished right hepatectomy by accurate resection according the precisely planned preoperation,with less bleeding or no bleeding surgical field and rapid recovery.