Value of the fine liver surgery concept in the treatment of HCC / 中国现代普通外科进展

ABSTRACT

Objective:To investigate the value of fine liver surgery concept in the treatment of HCC.Methods:Retrospective analysis of 121 cases of HCC with liver resection in our hospital from September 2010 to September 2015,according to the operation method,they were divided into the fine liver resection group and the traditional liver resection group,the two groups of operation conditions,postoperative conditions,complications and follow-up results were compared.Results:The operation time of the fine liver resection group was longer than that of the traditional liver resection group,the amount of blood loss,blood transfusion,blood transfusion rate,hepatic portal occlusion rate,and the length of stay in the fine liver resection group were lower than those in the traditional liver resection group,and the difference was statistic-.significant (P＜0.05);The ALT and TB in the patients with fine liver resection group postoperative 1 days,3 days and 5 days were lower than those in the traditional liver resection group,and the difference was statistically significant(P＜0.05);The incidence of postoperative complications in the fine liver resection group (7 cases,15.56％) was lower than that in the conventional liver resection group (25 cases,32.89％),and the difference was statistically significant (P＜0.05);The residual rate of resection margins and recurrence rate (4.44％,11.11％) in the fine liver resection group were lower than that of conventional liver resection group (17.11％,48.68％),and the difference was statistically significant (P＜0.05);The survival rate after precise liver resection 1 year and 2 years in the fine liver resection group (92.17％,85.31％) was higher than that of traditional liver resection group(90.58％,72.45％),and the difference was statistically significant (x 2=7.715,P=0.005).Conclusion:The efficacy and safety of fine liver resection in the treatment of HCC was superior to that of conventional liver resection.