Clinical research of the hepatectomy of total hepatic vascular exclusion by incisioning pericardium through the abdomen XIA Jun, XIONG Qi-ru，JIANG Hai-tao, et al. Department of Hepatobiliary Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022,China Corresponding author: XIONG Qi-ru, E-mail: jun3jun2xia1@163.com Abstract Objective To investigate the importance of total hepatic vascular exclusion for hepatectomy by incisioning pericardium through the abdomen. Methods Hepatectomy was performed in 38 patients in the Department of Hepatobiliary Surgery of the First Affiliated Hospital of Anhui Medical University between January 2003 and December 2007 by 2 different manners of hepatic vascular exclusion. Among them, 22 patients received the routine total hepatic vascular exclusion(THVE) and 16 patients received total hepatic vascular exclusion for hepatectomy by incisioning pericardium through the abdomen(incisioning pericardium).The type of hepatic vascular exclusion and the variation of postoperative liver function and complication were evaluated. Results All tumors were entirely removed.There was no significant difference in duration of operation and exclusion and incidence of complication between THVE group and incisioning pericardium group.ALT was significant lower in incisioning pericardium group in the 3 and 7 day postoperatively（P<0.05）,and AST was significant lower in incisioning pericardium group in the 7 day postoperatively（P<0.05）. Conclusion The hepatectomy of total hepatic vascular exclusion by incisioning pericardium through the abdomen can elevate resection ratio and improve prognosis of patients.