Quality control in liver resection for primary liver cancer
SHEN Feng
ZHANG Xiao-feng
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.
Keywords：primary liver cancehepatectomysurgery quality
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 11-14 )