中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 8
Aug.  2016
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Article Contents

Reconsideration of the clinical value of anatomical hepatectomy in surgical resection of liver cancer

DOI: 10.3969/j.issn.1001-5256.2016.08.008
  • Received Date: 2016-06-01
  • Published Date: 2016-08-20
  • The surgical resection of liver cancer consists of anatomical and non- anatomical resection,and controversy still exists over the application of these two procedures in clinical practice. This article introduces the technical points of anatomical and non- anatomical hepatectomy and analyzes the effect of anatomical hepatectomy on disease- free survival rate and overall survival rate,as well as the application of non- anatomical hepatectomy in liver cancer patients with underlying liver disease. The mechanism of recurrence after hepatectomy for liver cancer is also discussed. At last,this article summarizes the safety of anatomical hepatectomy and the advantages of non- anatomical hepatectomy and laparoscopic hepatectomy. As for liver cancer patients with liver cirrhosis,selection of the method for surgical resection of liver cancer should be based on a comprehensive evaluation of liver function and tumor condition.

     

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  • [1] MAKUUCHI M,HASEGAWA H,YAMAZAKI S.Ultrasonically guided subsegmentectomy[J].Surg Gynecol Obstet,1985,161(4):346-350.
    [2]HASEGAWA K,KOKODD N,IMAMURA H,et al.Prognostic impact of anatomic resection for hepatocellular carcinoma[J].Ann Surg,2005,242(2):252-259.
    [3] CHO YB,LEE KU,LEE HW,et al.Anatomic versus non-anatomic resection for small single hepatocellular carcinomas[J].Hepatogastroenterology,2007,54(78):1766-1769.
    [4]WAKAI T,SHIRAI Y,SAKATA J,et al.Anatomic resection independently improves long-term survival in patients with T1-T2hepatocellular carcinoma[J].Ann Surg Oncol,2007,14(4):1356-1365.
    [5]KAMIYAMA T,NAKANISHI K,YOKOO H,et al.The impact of anatomical resection for hepatocellular carcinoma that meets the Milan criteria[J].J Surg Oncol,2010,101(1):54-60.
    [6]EQUCHI S,KANEMATSU T,ARII S,et al.Comparison of the outcomes between an anatomical subsegmentectomy and a nonanatomical minor hepatectomy for single hepatocellular carcinomas based on a Japanese nationwide survey[J].2008,143(4):469-475.
    [7]YAMASHITA Y,TAKETOMI A,ITOH S,et al.Longterm favorable results of limited hepatic resections for patients with hepatocellular carcinoma:20 years of experience[J].J Am Coll Surg,2007,205(1):19-26.
    [8]KAIBORI M,MATSUI Y,HIJIKAWA T,et al.Comparison of limited and anatomic hepatic resection for hepatocellular carcinoma with hepatitis C[J].Surgery,2006,139(3):385-394.
    [9]CAPUSSOTTI L,MURATORE A,AMISANO M,et al.Liver resection for hepatocellular carcinoma on cirrhosis:analysis of mortality,morbidity and survival.A European single center experience[J].Eur J Surg Oncol,2005,31(9):986-993.
    [10] VAUTHEY JN,LAUWERS GY,ESNAOLA NF,et al.Simplified staging for hepatocellular carcinoma[J].J Clin Oncol,2002,20(6):1527-1536.
    [11] SASAKI A,KAI S,IWASHITA Y,et al.Microsatellite distribution and indication for locoregional therapy in small hepatocellular carcinoma[J].Cancer,2005,103(2):299-306.
    [12]NATHAN H,SCHULICK RD,CHOTI MA,et al.Predictors of survival after resection of early hepatocellular carcinoma[J].Ann Surg,2009,249(5):799-805.
    [13]POON RT.Differentiating early and late recurrences after resection of HCC in cirrhotic patients:implications on surveillance,prevention,and treatment strategies[J].Ann Surg Oncol,2009,16(4):792-794.
    [14]IMAMURA H,MATSUYAMA Y,TANAKA E,et al.Risk factors contributing to early and late phase intrahepatic recurrence of hepatocellular carcinoma after hepatectomy[J].J Hepatol,2003,38(2):200-207.
    [15]CUCCHETTI A,PISCAGLIA F,CATURELLI E,et al.Comparison of recurrence of hepatocellular carcinoma after resection in patients with cirrhosis to its occurrence in a surveilled cirrhotic population[J].Ann Surg Oncol,2009,16(2):413-422.
    [16]HIROKAWA F,KUBO S,NAGANO H,et al.Do patients with small solitary hepatocellular carcinomas without macroscopically vascular invasion require anatomic resection?Propensity score analysis[J].Surgery,2015,157(1):27-36.
    [17]CUCCHETTI A,QIAO GL,CESCON M,et al.Anatomic versus nonanatomic resection in cirrhotic patients with early hepatocellular carcinoma[J].Surgery,2014,155(3):512-521.
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