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- W2377084448 abstract "Objective To investigate the effect of hepatectomy in treatment of hepatocellular carcinoma (HCC). Methods The clinical data of 301 HCC patients received hepatectomy in our hospital in recent 5 years were retrospectively analyzed. Results Upon admission, 40% of the patients had the history of hepatitis B and 62% were complicated with hepatitis B. Liver function grade A was found in 46%, B in 38% and C in 16%. Tumors were found to locate in the left lobe in 31%, right lobe in 65% and bilateral lobes in 4%. Small HCC was found in 23% while major HCC in 76%. Of all the patients, 61% were complicated with liver cirrhosis, 8% with portal vein thrombi and 3% with biliary thrombi. Left lateral lobectomy was performed in 8 6%, left half lobectomy in 8%, right half lobectomy in 12 6% and segmentectomy in 71 8%. Pringle procedure was employed in 31%, semi liver blood occlusion in 10% and modified Heaney procedure in 1 3%. Perioperative blood loss was 1 056±1 195 ml with 665±591 ml of blood infusion. The mean operative duration was 194±84 minutes, hospital stay 25±12 days. After the operation, 1 , 3 and 5 year survival rates were 74%, 56% and 42%, respectively. Conclusions Though hepatectomy for HCC may result in a relatively high overall morbidity, its incidence of severe complications and operative mortality are significantly low. Decreasing blood loss, controlling the volume for hepatectomy and reducing operative duration are crucial for decreasing the morbidity and mortality." @default.
- W2377084448 created "2016-06-24" @default.
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- W2377084448 date "2002-01-01" @default.
- W2377084448 modified "2023-09-28" @default.
- W2377084448 title "Hepatectomy for hepatocellular carcinoma" @default.
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