Reconsideration of the clinical value of anatomical hepatectomy in surgical resection of liver cancer
10.3969/j.issn.1001-5256.2016.08.008
- VernacularTitle:解剖性肝切除在肝癌治疗中临床价值的再认识
- Author:
Yamin ZHANG
1
Author Information
1. Department of Hepatobiliary Surgery, Tianjin First Central Hospital, Tianjin 300192, China
- Publication Type:Research Article
- Keywords:
liver neoplasms;
hepatectomy;
dissection
- From:
Journal of Clinical Hepatology
2016;32(8):1474-1476
- CountryChina
- Language:Chinese
-
Abstract:
The surgical resection of liver cancer consists of anatomical and non-anatomical resection, and controversy still exists over the application of these two procedures in clinical practice. This article introduces the technical points of anatomical and non-anatomical hepatectomy and analyzes the effect of anatomical hepatectomy on disease-free survival rate and overall survival rate, as well as the application of non-anatomical hepatectomy in liver cancer patients with underlying liver disease. The mechanism of recurrence after hepatectomy for liver cancer is also discussed. At last, this article summarizes the safety of anatomical hepatectomy and the advantages of non-anatomical hepatectomy and laparoscopic hepatectomy. As for liver cancer patients with liver cirrhosis, selection of the method for surgical resection of liver cancer should be based on a comprehensive evaluation of liver function and tumor condition.
