Analysis on surgical approaches and surgical skills of multi-visceral resection for the right upper quadrant tumor        ZHANG Jiang，HAN Guang-sen，JIANG Zhi-qiang. Department of General Surgery，  Henan Cancer Hospital，Zhengzhou University, Zhengzhou 450003，China
Corresponding author: HAN Guang-sen, E-mail: hnhanguangsen@126.com
Abstract    Objective    To explore the safety and feasibility of surgical approaches and surgical skills of multi-visceral resection for the right upper quadrant tumor.  Methods    The clinical data of 21 patients with right upper quadrant abdominal tumor performed multi-visceral resection from January 2004 to February 2012 in Department of General Surgery, Henan Cancer Hospital were analyzed retrospectively. We used the lower right retroperitoneal retrograde approach or/and hepatic subcapsular approach, and analyzed blood loss, operative time and postoperative complications. Results    Twenty-one patients underwent right upper quadrant tumor combined organ resection, 17 cases of patients with the use of the right lower peritoneal retrograde approach, 4 cases of patients with the use of hepatic subcapsular approach joint lower right retroperitoneal retrograde approach. The average blood loss was 350mL and the mean operative time was 105 min. Among all the patients, 18 patients recovered smoothly, 1 patient had pancreatic fistula, 1 patient had biliary fistula, 1 patient had intestinal obstruction, which were cured by the unobstructed drainage and nutritional support therapy with no death. Conclusion    Surgical approaches and operative skills of multi-visceral resection for the right upper quadrant tumor are safe and feasible.