中国实用外科杂志2016，Vol.36Issue(1)：11-14,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.01.05
原发性肝癌肝切除术质量控制若干问题
Quality control in liver resection for primary liver cancer
摘要
Abstract
Liver resection remains the major option for achieving a long-term survival in patients with primary liver cancer. However, the high relevance of HBV infection and cirrhosis in our country and the complex in intrahepatic vascular and biliary anatomy seriously and adversely affect the safety and long-term efficacy of surgical resection. How to effectively optimize the quality of surgical resection is still recognized to be important for further improving surgical effectiveness, in addition to the tumor stage, morphology and invasive nature of individual patient. Therefore, a careful preoperative evaluation should be made based on the precisely tested, liver functional reserve, provided by a variety of functional tests and integrated imaging studies. Intra- and postoperative management should follow the principle of precision liver resection and damage control, through selecting appropriate anesthesia method, surgical approach, type and extent of liver resection, portal blocking methods and sugical equipments. The enhanced recovery after surgery is also recommended for suitable patients. In addition, the proper adjuvant procedures contribute a better surgical result.关键词
原发性肝癌/肝切除术/手术质量Key words
primary liver cance/hepatectomy/surgery quality分类
医药卫生引用本文复制引用
沈锋,张小峰..原发性肝癌肝切除术质量控制若干问题[J].中国实用外科杂志,2016,36(1):11-14,4.基金项目
国家传染病重大专项课题(No.2012ZX10002016) （No.2012ZX10002016）
