关键词: 原发性肝癌, 大血管侵犯, 手术切除, 多学科治疗

Abstract:

Surgical strategy for primary liver cancer patients with macrovascular invasion        CHEN Geng，BIE Ping. Institute of Hepatobiliary Surgery，the First Hospital Affiliated to Army Medical University（Southwest Hospital），Chongqing 400038，China
Corresponding auhor：BIE Ping，E-mail：bieping@medmail.com.cn
Abstract    The macrovascular invasions of primary liver cancer are commonly seen in portal vein, hepatic vein and vena cava. The tumor cells could migrate and implant to the blood vessels and form tumor thrombus, which is one of the most important negative factors to prognosis. Tumor resection combined with thrombus extraction is the primary strategy under the condition of no distant metastasis. In addition, some methods should be adopted to prevent early recurrence intra- and post- operatively. The overall outcome of primary liver cancer with macrovascular invasions could be improved by implementing surgery-based multidisciplinary therapy.

Key words: primary liver cancer, macrovascular invasion, tumor resection, multidisciplinary therapy