To investigate the clinical outcome ofprecision surgery combined with fast recovery concept of perioperative management of hepatectomy for primary liver cancer.

Clinical data of 83 patients with HCC who had received precise surgical resection in Anhui medical university between June 2018 to June 2020 were analyzed retrospectively. According to different perioperative treatment methods, the patients were divided into two groups: fast recovery (FTS) group(n=43) and traditional group(n=40). In the FTS group, the patients received the perioperative treatment under the guidance of rapid recovery concept. In the traditional group, the patients received the conventional perioperative treatment. Statistical analysis were performed by using SPSS 18.0 software. Postoperative conditions, liver function indicators and postoperative pain , which were conformed tobe normal distribution, were expressed as, (±s) and were examined by using independent t test . The complication rate was analyzed by using χ² test. A P value of < 0.05 was considered as statistically significant difference.

Compared with the traditional group, the FTS group had shorter postoperative exhausting time, defecation time, gastric tube extubation time and hospital stay (P<0.05). The total incidence of postoperative complications in the FTS group was 9.31%, which was lower than 30.0% in the traditional group (P<0.05). There were no significant difference in terms of total bilirubin, serum albumin and alanine aminotransferase between the two groups (P>0.05). VAS scores 6 h, 12 h, 1 d and 2 d after surgery in the FTS group were significant lower than those in the traditional group respectively (P<0.05).

The application of precision surgery combined with the concept of fast recovery in perioperative management of hepatocellular carcinoma could reduce the time of hospitalization, could relieve pain and avoid related complications.