关键词: 肝血流控制, 肝切除术, 全肝入肝血流阻断法, 半肝入肝血流阻断法, 低中心静脉压技术

Abstract:

Selection and evaluation of hepatic blood flow control in hepatectomy        YANG Guang-chao，LIU Lian-xin. Department of Hepatic Surgery, the First Affiliated Hospital of Harbin Medical University，Harbin 150001，China
Corresponding author：LIU Lian-xin，E-mail：liulianxin@
medmail.com.cn
Abstract    Hepatectomy is still the main method for treatment of hepatocellular carcinoma. How to select and apply hepatic blood flow control techniques in surgery is an important factor affecting the surgical result，which is also an important factor influencing the postoperative complications and disease mortality. Hepatic blood flow control techniques include regional blood blockage，hepatic vascular inflow control，hepatic blood flow control，total hepatic vascular control，low central venous pressure and liver hanging maneuver. Altogether，safe liver surgery requires knowledge of each regular technique of vascular control，which has its place in liver surgery，depending on tumor location，underlying liver disease，patient cardiovascular status，and the experience of the surgeon.

Key words: hepatic vascular control；hepatectomy；total hepatic vascular occlusion, hemi hepatic vascular occlusion；low central venous pressure