Application of Glissonean pedicle transection method for hepatic resection in hepatocellular carcinoma
10.3969/j.issn.1006-5725.2016.01.020
- VernacularTitle:Glisson蒂横断式肝切除在原发性肝癌中的应用
- Author:
Fuzhen QI
;
Gang XU
;
Yan SONG
;
Dianhua GU
;
Jianbo XU
;
Guofeng CHEN
;
Jianhuai ZHANG
- Publication Type:Journal Article
- Keywords:
Carcinoma;
hepatocellular;
Glissonean pedicle;
Hepatectomy;
Hepatic vascular control
- From:
The Journal of Practical Medicine
2016;32(1):65-68
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of Glissonean pedicle transection method in hepatocellular carcinoma. Methods We analyzed the clinical data of 232 cases of hepatocellular carcinoma underwent hepatic resection in our department from April 2009 to April 2013. Eighty-nine cases underwent hepatic resection by Glissonean pedicle transection method, and 143 cases underwent Pringle maneuver. Results There was no significant differences in the operation time and blood loss between the two groups (P > 0.05). However, the postoperative hospital stay time and the postoperative complications in group A were better than those in group B(P<0.05). Levels of ALT and AST in group A increased significantly slowly than those in group B. The 1, 3-year disease-free survival rates in the two groups were 87.4%, 71.1% and 85.1%, 60.0%, respectively. The 1, 3-year survival rates were 93.3%, 73.5% and 93.4%, 65.0%, respectively, with no significant differences (P>0.05). Conclusion Glissonean pedicle transection method has many advantages including effectively preventing the intraoperative bleeding, maximally reserving the remaining of liver function, decreasing the rate of tumor spread and metastasis. Meanwhile, it is a safe and effective technique for hepatectomy without dissection of the hepatic artery, portal vein and bile duct in the hepatoduodenal ligament.
