Norms and research progress of anatomic liver resection for hepatocellular carcinoma
10.3760/cma.j.cn113884-20230830-00054
- VernacularTitle:肝细胞癌解剖性肝切除的规范与进展
- Author:
Weizhi ZHANG
1
;
Lianxin LIU
Author Information
1. 哈尔滨医科大学附属第一医院肝脏外科，哈尔滨 150001
- Keywords:
Liver neoplasms;
Anatomic resection;
Non-anatomic resection
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(2):151-155
- CountryChina
- Language:Chinese
-
Abstract:
Hepatectomy is the most important curative treatment for liver neoplasms, and its deve-lopment has experienced such concepts as local resection, irregular resection, regular resection and anatomic resection. With the enhanced understanding of hepatic anatomy, the progression of hepatic parenchymal dissection devices and the implementation of controlled low central venous pressure strategies, both open and minimally invasive hepatectomy have gained great popularity and development. Under the guidance of the concept of precision surgery, anatomic resection has garnered increasing attention, yet a contentious debate persists regarding the selection between anatomic and non-anatomic liver resection. In clinical practice, it is imperative to conduct a comprehensive evaluation of the tumor's location, size, biological characteristics, and hepatic function. This evaluation should consider the safety and thoroughness of the surgical procedure, as well as the potential for tumor recurrence and the subsequent follow-up treatment. Ultimately, the selection of surgical methods should be based on maximizing the patient's benefits. This paper reviews and discusses the published literatures, both domestic and abroad, on the norms and research progress of anatomic liver resection for hepatocellular carcinoma.
