Anatomic resection of liver segments 6-8 for hepatocellular carcinoma  

作　　者：Chang-Ku Jia Jie Weng You-Ke Chen Yu Fu 

机构地区：[1]Department of Hepatobiliary Pancreatic Surgery,the Affiliated Hospital of Hainan Medical College

出　　处：《World Journal of Gastroenterology》2014年第15期4433-4439,共7页世界胃肠病学杂志（英文版）

基　　金：Supported by A grant from the Science and Technology Projects of Education Department of Hainan Province,China,No.Hjkj2012-25

摘　　要：AIM: To report the devised anatomic liver resection of segments 6, 7 and 8 to improve the resection rate for patients with right liver tumors.AIM:To report the devised anatomic liver resection of segments 6,7 and 8 to improve the resection rate for patients with right liver tumors.METHODS:We performed anatomic liver resection of segments 6,7 and 8 to guarantee the maximum preservation of the remaining normal liver tissue.Segment 5 was determined by two steps of Glissonean pedicle occlusion.And a"┏┛"shaped broken resection line was marked upon the diaphragmatic surface of the liver.Selective right hemihepatic inflow occlusion was used to reduce blood loss during parenchymal transection between segments 6 and 5 and between segments 8 and 5.If needed,total hepatic Glissonean pedicle occlusion was used during parenchymal transection between segment 8 and the left liver.RESULTS:Compared to right hemihepatectomy,the percentage of future liver remnant volume was increased by an average of 13.9%if resection of segments 6,7 and 8 was performed.Resection of segments 6,7 and 8 was completed uneventfully.After hepatectomy,the inflow and outflow of segment 5were maintained.There was no perioperative mortality,postoperative abdominal bleeding or bile leakage in this group.Alpha-fetoprotein(AFP)returned to the normal range within 2 mo after the operation in all the patients.One patient died 383 d postoperatively due to obstructive suppurative cholangitis.One patient suffered from severe liver dysfunction shortly after surgery and had intrahepatic recurrence 4 mo postoperatively.Postoperative lung metastasis was found in one patient.No tumor recurrence was found in the other patients and the parameters including liver function and AFP level were in the normal range.CONCLUSION:Anatomic liver resection of segments6,7 and 8 can be a conventional operation to improve the overall resection rate for hepatocellular carcinoma.

关 键 词：Anatomic hepatectomy Hepatocellular carcinoma Selective occlusion ALPHA-FETOPROTEIN Liver tumor 

分 类 号：R735.7[医药卫生—肿瘤]