The value of real-time ultrasound-guided anatomical segmental hepatectomy in the treatment of primary liver cancer
10.3760/cma.j.cn431274-20210301-00242
- VernacularTitle:实时超声导航下解剖性肝段切除应用于原发性肝癌治疗中的价值
- Author:
Kai LIU
1
;
Jiang PENG
;
Zili HE
Author Information
1. 湖南省人民医院(湖南师范大学附属第一医院)胆道外二科，长沙 410000
- Keywords:
Carcinoma, hepatocellular;
Anatomical segmental hepatectomy;
Ultrasound navigation
- From:
Journal of Chinese Physician
2022;24(2):212-215
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the clinical value and significance of real-time ultrasound-guided anatomical segmental hepatectomy in patients with primary liver cancer.Methods:43 patients with primary liver cancer treated in Hunan Provincial People′s Hospital from January 2015 to October 2017 were retrospectively selected as the control group, and 43 patients with primary liver cancer treated from November 2017 to December 2019 were selected as the observation group. The control group was treated with irregular hepatectomy, and the observation group was treated with anatomical segmental hepatectomy under real-time ultrasound navigation. The operation, postoperative complication rate and quality of life score were compared between the two groups after different treatment.Results:The portal occlusion rate and blood transfusion rate of the observation group (13.9%, 9.3%) were significantly lower than those of the control group (30.2%, 25.5%; all P<0.05); the operation time of the observation group [(153.4±14.20)min] was significantly longer than that of the control group [(127.3±12.10)min, P<0.05]; one year after operation, the recurrence rate of the observation group (9.3%) was significantly lower than that of the control group (30.2%, P<0.05), and the survival rate (81.4%) was significantly higher than that of the control group (51.2%, P<0.05). Conclusions:The application of real-time ultrasound-guided anatomical segmental hepatectomy in patients with primary liver cancer can significantly reduce the porta hepatis block rate and blood transfusion rate. It is of positive and important significance to promote the recovery of postoperative liver function, improve the quality of life and reduce the probability of disease recurrence.
