关键词: 肝细胞癌, 解剖性肝切除, 非解剖性肝切除

Abstract:

Controversy and consensus on the choice of hepatectomy for hepatocellular carcinoma        JIA Wei-dong，CHEN Hao. Department of Hepatic Surgery，Anhui Provincial Hospital; Key Laboratory of Hepatopancreatobiliary Surgery of Anhui Province，Hefei 230001，China
Corresponding author：JIA Wei-dong，E-mail：jwd1968@sina.com
Abstract    Liver resection is still one of the main treatment of hepatocellular carcinoma，the methods of resection include anatomical liver resection and non-anatomical liver resection. Because of the current clinical studies are all retrospective study，lack of randomized controlled trials，there is still controversial of the choice of anatomical or non-anatomical liver resection in clinical practice. Successful hepatectomy for hepatocellular carcinoma depends on the precise balance between radical tumor resection and residual liver function. Anatomical liver resection has the advantage of complete resection of tumor-burdened liver segment (or leaf)，at the same time will remove the tumor-burdened liver segment (or leaf) and its portal vein system completely，thus minimizes the sub-clinical metastases，reduces the residual and postoperative recurrence of the tumor，and improves the long-term survival rate of hepatocellular carcinoma patients. Non-anatomical liver resection needs the enough negative cut edge，it can retain the disease-free functional liver tissue well. Comprehensive evaluation of liver reserve function and tumor-related factors，taking into account the safety and thoroughness of surgery，will help to select the appropriate surgical resection.

Key words: hepatocellular carcinoma；anatomical liver resection；non-anatomical , liver resection