关键词: 肝癌, 肝切除, 损伤控制, 无瘤操作

Abstract:

Strategies of damage control and no-touch technique in hepatectomy for liver cancer        ZHANG Wan-guang，LONG Xin. Department of Hepatic Surgical Center，Tongji Hospital，Tongji Medical College，Huazhong University of Science & Technology，Wuhan 430030，China
Corresponding author:ZHANG Wan-guang,E-mail:wgzhang@
tjh.tjmu.edu.cn
Abstract    Hepatectomy is associated with the incidence of bleeding，bile leakage，liver failure as well as infection to the patients with liver cancer. Meanwhile，intraoperative bleeding and perioperative transfusion，type of resection，surgical margin，approach of resection and lymphadenectomy are all the significant factors of tumor recurrence and metastasis. Therefore，surgeons must obey principles of damage control and no-touch technique in hepatectomy for liver cancer. Using effective hepatic vascular occlusion technique and appropriate devices dealing with liver parenchyma transaction to reduce the incidence of intraoperative bleeding and perioperative transfusion，anatomic resection，enough surgical margin，anterior approach necessary lymphadenectomy and vascular resection as well as laparoscopic hepatectomy could minimize injuries caused by hepatectomy and allow patients with liver cancer to acquire survival benefits to the maximum after surgery.

Key words: liver cancer, hepatectomy, damage control, no-touch technique