Surgical treatment of giant primary liver cancer

Objective To investigate the feasibility and key points of surgical treatment of giant primary liver cancer.Methods Surgical methods and therapeutic effect of 17 cases receiving surgical treatment for giant primary liver cancer in recent 2 years were analyzed retrospectively.Of them, 13 cases underwent irregular hepatectomyand 4 cases underwent regular hepatectomy.Results Liver neoplasms of all 17 cases were resected.There was no perioperative death.Average operative time was (106±22) min (85-170 min) , while average blood loss was about (400±221) ml (100-1100 ml) .The mean postoperative complications were seen in11person.16 cases survived and 1case died after 4-28 months follow up study.Conclusion The main treatment of giant liver cancer is hepatectomy.The key points of surgical treatment are preoperative assessment and preparation earnestly, formulate feasible operation program, avoiding intraoperative massive hemorrhage, protecting residual liver function and disposal of postoperative complication timely.