LIP-SHAPED HEPATECTOMY IN SURGICAL TREATMENT OF PRIMARY LIVER CANCER_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Liver Cancer Institute, Zhong Shan Hospital, Shanghai Medical University, Shanghai 200032;

Corresponding author：

Keywords：

Primary liver cancer Hepatectomy

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To state operative details of lip-shaped hepatectomy (LSH) and evaluate its advantage in treatment of primary liver cancer (PLC).
Methods LSH is one of the irregular hepatectomies. The key lies in the following five operative kinks: ①adequately mobilizing perihepatic ligaments; ②designing lip-shaped hepatic incision; ③laying sutures on both sides of the hepatic incision for traction; ④wedge-shapedly resecting the tumor and the surrounding liver; ⑤closely sewing up the hepatic cutting surface.
Results Two hundreds and thirty three patients with PLC were treated by LSH between Oct. 1991 and Dec. 1997 in Zhongshan hospital, Shanghai medical university. Among them 8 cases underwent initial hepatectomy and resection for recurrence of the tumor. The operative mortality rate was 1.2%, 2 died of hepatic failure and 1 renal failure. In addition to bile leakage in 3 cases and hydropsy at the operative area in one case, no severe postoperative complications were found, such as intraperitoneal bleeding, subphrenic abscess and so on. The 1-,3-,5-year survival rates were 89.8%, 64.3% and 55.9% respectively, in 233 patients with 241 LSHs. 25 patients survived more than 5 years. The result indicated that the most advantage of LSH was to increase operative safety on the basis of guarantee of radical resection of PLC, especially to decrease some complications from hepatic cutting surface.
Conclusion LSH is a relatively simple, safe, reasonable and recommendable hepatectomic modality.

Citation： MA Zengchen,TANG Zhaoyou,YU Yeqing,et al.. LIP-SHAPED HEPATECTOMY IN SURGICAL TREATMENT OF PRIMARY LIVER CANCER. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(1): 33-36. doi: Copy

1.	余业勤，汤钊猷，周信达. 切除小肝癌的经验. 中华外科杂志， 1978； 15(5)∶266.
2.	Wu MC, Chen H, Zhang XH. Primary hepatic carcinoma resection over 18 years〔Ｊ〕. Chin Med J, 1980; 93(10)∶723.
3.	Kanematsu T, Takenaka K, Matsumata T, et al. Limited hepatic resection effective for selected cirrhotic patients with primary liver cancer〔Ｊ〕. Ann Surg, 1984; 199(1)∶51.
4.	吴孟超. 原发性肝癌400例手术切除的经验〔Ｊ〕. 临床肝胆病杂志， 1986； 2(3)∶148.
5.	黄兴耀，王能进. 肝癌术后生存10年以上29例临床研究〔Ｊ〕. 实用肿瘤杂志， 1992； 7(3)∶164.
6.	马曾辰，汤钊猷，余业勤等. 原发性肝癌外科手术概念的更新与术后长期生存〔Ｊ〕. 普外基础与临床杂志， 1995； 2(1)∶42.
7.	王成恩，李国材. 原发性肝癌的外科治疗〔M〕. 肿瘤研究论文集. 上海：上海科学技术出版社， 1962∶329.
8.	Lin TY. The results of hepatic lobectomy for primary carcinoma of the liver〔Ｊ〕. Surg Gynec Obstet, 1966; 123(2)∶289.
9.	Ochsner JL, Meyers BE, Ochsner A. Hepatic lobectomy〔Ｊ〕. Am J Surg, 1971; 121(3)∶273.
10.	Adson MA, Sheedy PF. Resection of primary hepatic malignant lesions〔Ｊ〕. Arch Surg, 1974; 108(4)∶599.
11.	Starzl TE, Bell RH, Beart RW, et al. Hepatic trisegmentectomy and other liver resections〔Ｊ〕. Surg Gynec Obstet, 1975; 141(3)∶429.
12.	Schwartz SI. Hepatic resection〔Ｊ〕. Ann Surg, 1990; 211(1)∶1.
13.	马曾辰. 肝癌外科切除治疗及其进展〔Ｊ〕. 中国临床医学， 1999； 6(2)∶87.
14.	Bismuth H. Surgical anatomy and anatomical surgery of the liver〔Ｊ〕. World J Surg, 1982; 6(1)∶3.
15.	Bismuth H, Houssin D, Castaing D. Major and minor segmentectomies “Reglees” in liver surgery〔Ｊ〕. World J Surg, 1982; 6(1)∶10.
16.	Gozzetti G, Mazziotti A, Cavallari A, et al. Clinical experience with hepatic resection for hepatocellular carcinoma in patients with cirrhosis〔Ｊ〕. Surg Gynec Obstet, 1988; 166(6)∶503.
17.	陈孝平，吴在德，覃修福等. 肝段切除术120例〔Ｊ〕.中华外科杂志， 1990； 28(10)∶599.
18.	郑光琪. 用肝门区域血管阻断法行肝段切除202例经验〔Ｊ〕. 中国实用外科杂志， 1998； 18(3)∶165.

1. 余业勤，汤钊猷，周信达. 切除小肝癌的经验. 中华外科杂志， 1978； 15(5)∶266.
2. Wu MC, Chen H, Zhang XH. Primary hepatic carcinoma resection over 18 years〔Ｊ〕. Chin Med J, 1980; 93(10)∶723.
3. Kanematsu T, Takenaka K, Matsumata T, et al. Limited hepatic resection effective for selected cirrhotic patients with primary liver cancer〔Ｊ〕. Ann Surg, 1984; 199(1)∶51.
4. 吴孟超. 原发性肝癌400例手术切除的经验〔Ｊ〕. 临床肝胆病杂志， 1986； 2(3)∶148.
5. 黄兴耀，王能进. 肝癌术后生存10年以上29例临床研究〔Ｊ〕. 实用肿瘤杂志， 1992； 7(3)∶164.
6. 马曾辰，汤钊猷，余业勤等. 原发性肝癌外科手术概念的更新与术后长期生存〔Ｊ〕. 普外基础与临床杂志， 1995； 2(1)∶42.
7. 王成恩，李国材. 原发性肝癌的外科治疗〔M〕. 肿瘤研究论文集. 上海：上海科学技术出版社， 1962∶329.
8. Lin TY. The results of hepatic lobectomy for primary carcinoma of the liver〔Ｊ〕. Surg Gynec Obstet, 1966; 123(2)∶289.
9. Ochsner JL, Meyers BE, Ochsner A. Hepatic lobectomy〔Ｊ〕. Am J Surg, 1971; 121(3)∶273.
10. Adson MA, Sheedy PF. Resection of primary hepatic malignant lesions〔Ｊ〕. Arch Surg, 1974; 108(4)∶599.
11. Starzl TE, Bell RH, Beart RW, et al. Hepatic trisegmentectomy and other liver resections〔Ｊ〕. Surg Gynec Obstet, 1975; 141(3)∶429.
12. Schwartz SI. Hepatic resection〔Ｊ〕. Ann Surg, 1990; 211(1)∶1.
13. 马曾辰. 肝癌外科切除治疗及其进展〔Ｊ〕. 中国临床医学， 1999； 6(2)∶87.
14. Bismuth H. Surgical anatomy and anatomical surgery of the liver〔Ｊ〕. World J Surg, 1982; 6(1)∶3.
15. Bismuth H, Houssin D, Castaing D. Major and minor segmentectomies “Reglees” in liver surgery〔Ｊ〕. World J Surg, 1982; 6(1)∶10.
16. Gozzetti G, Mazziotti A, Cavallari A, et al. Clinical experience with hepatic resection for hepatocellular carcinoma in patients with cirrhosis〔Ｊ〕. Surg Gynec Obstet, 1988; 166(6)∶503.
17. 陈孝平，吴在德，覃修福等. 肝段切除术120例〔Ｊ〕.中华外科杂志， 1990； 28(10)∶599.
18. 郑光琪. 用肝门区域血管阻断法行肝段切除202例经验〔Ｊ〕. 中国实用外科杂志， 1998； 18(3)∶165.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

LIP-SHAPED HEPATECTOMY IN SURGICAL TREATMENT OF PRIMARY LIVER CANCER

Abstract Full text Figures/Tables Video References Cited by

Format

Content