摘要
Abstract
Objective:To investigate the clinical value of anatomical liver resection(AR)in the treatment of liver cancer complicated with microvascular invasion(MVI).Method:The clinical data of 97 patients with liver cancer complicated with MVI admitted to Jinan Tianqiao People's Hospital from February 2019 to January 2022 were retrospectively analyzed.According to different surgical methods,they were divided into observation group(receiving AR,n=54)and control group[receiving non-anatomical liver resection(NAR),n=43].Surgery and tumor related indexes were compared between the two groups,and postoperative survival rates were recorded during follow-up.Result:The operation time of the observation group was longer than that of the control group,the amount of blood loss during operation was less than that of the control group,the rate of blood transfusion during operation was lower than that of the control group,the postoperative extubation time and postoperative hospitalization time were shorter than those of the control group(P<0.05).The incidence of postoperative complications in observation group was lower than that in control group(P<0.05).The 3-year none tumor survival rate of observation group was higher than that of control group(P<0.05).There was no significant difference in the 3-year overall survival rate between the two groups(P>0.05).Conclusion:AR treatment of patients with liver cancer complicated with MVI has less intraoperative blood loss,lower intraoperative blood transfusion rate,and can shorten hospital stay,with better safety and better tumor-free survival.关键词
解剖性肝切除术/非解剖性肝切除术/肝癌/微血管侵犯Key words
Anatomical resection/Non-anatomical liver resection/Liver cancer/Microvascular invasion
