Abstract:

Objective

To compare the effects of hepatectomy with different approaches in the treatment of primary hepatocellular carcinoma.

Method

The data of 103 patients with primary hepatocellular carcinoma who underwent hepatectomy from January 2019 to January 2023 were retrospectively analyzed.According to different surgical approaches， they were divided into suspension group （n=53 cases with anterior liver suspension approach） and traditional group （n=50 cases with traditional approach）.SPSS 25.0 software was used to analyze the data.Intraoperative blood loss， operation time and other measurement data were expressed as （x ± s）， and independent sample t test was performed.The incidence of postoperative complications were counted by χ² test.Rank Sum test was used for liver function grades.Kaplan-Meier method and Log-Rank test were used for survival analysis.P＜0.05 was considered to be statistically significant.

Results

The amount of intraoperative blood loss and plasma infusion in suspension group was lower than that in traditional group（P＜0.05）.There was no significant difference in operation time， postoperative feeding time and getting out of bed time between the two groups （P＞0.05）.The length of hospital stay and incidence of complications in suspension group were lower than those in traditional group （P＜0.05）.The progression-free survival rate and overall survival rate of the two groups were higher in the suspension group than in the traditional group （P＜0.05）.

Conclusion

Compared with the traditional approach， hepatectomy by suspending the liver around the anterior approach can reduce the amount of intraoperative blood loss and plasma infusion， reduce the incidence of postoperative complications， promote the recovery of patients， and improve the short-term survival rate of patients.

Key words: Carcinoma, Hepatocellular, Hepatectomy, Pre Hepatic Suspension Approach, Postoperative Complications, Treatment Outcome