关键词: 原发性肝癌, 肝切除术, 手术质量

Abstract:

Quality control in liver resection for primary liver cancer         SHEN Feng，ZHANG Xiao-feng. Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200438，China
Corresponding author: SHEN  Feng, E-mail: shenfengehbh@
sina.com
Abstract    Liver resection remains the major option for achieving a long-term survival in patients with primary liver cancer. However, the high relevance of HBV infection and cirrhosis in our country and the complex in intrahepatic vascular and biliary anatomy seriously and adversely affect the safety and long-term efficacy of surgical resection. How to effectively optimize the quality of surgical resection is still recognized to be important for further improving surgical effectiveness, in addition to the tumor stage, morphology and invasive nature of individual patient. Therefore, a careful preoperative evaluation should be made based on the precisely tested, liver functional reserve, provided by a variety of functional tests and integrated imaging studies. Intra- and postoperative management should follow the principle of precision liver resection and damage control, through selecting appropriate anesthesia method, surgical approach, type and extent of liver resection, portal blocking methods and sugical equipments. The enhanced recovery after surgery is also recommended for suitable patients. In addition, the proper adjuvant procedures contribute a better surgical result. 

Key words: primary liver cance, hepatectomy, surgery quality