Combined selective portal venous balloon catheter occlusion and regional hepatic artery occlusion in hepatectomy of hepatocellular carcinoma        YANG Shu-hua, HUANG Ming-wen, XU Zhi, et al. Department of Hepatobiliary Surgery，the Second Affiliated Hospital of Nanchang University，Nanchang 330006，China
Corresponding author: HUANG Ming-wen, E-mail: gdyexhmw@126.com
Abstract    Objective    To evaluate the therapeutic effect of hepatectomy under selective portal venous balloon catheter occlusion and regional hepatic artery occlusion for hepatocellular carcinoma. Methods    Forty-eight cases (group A) of hepatocellular carcinoma were performed hepatectomy under selective portal venous balloon catheter occlusion and regional hepatic artery occlusion between July 2007 and June 2010 at the Second Affiliated Hospital of Nanchang University. Seventy cases (36 cases of Pringle occlusion named group B+34 cases of regional hepatic artery occlusion named group C) were performed traditional hepatectomy. The mean operation time, estimated operative blood loss and postoperative liver function among three groups were compared. Results    There was no operative mortality in three groups. The mean operation time in group A was shorter than that in group C. There was no significant statistical difference between group A and group B. The estimated operative blood loss in group A was less than that in group C. There was no significant statistical difference between group A and that in group B. The recovery of postoperative liver function in group A was faster than that in group B. There was no significant statistical difference between group A and group C. Conclusion    Hepatectomy under selective portal venous balloon catheter occlusion and regional hepatic artery occlusion is safe and effective, which is suitable for the hepatocellular carcinoma patients with operative indication.