《Perioperative factors related to prognosis of regular hepatectomy in comparison with irregular hepatectomy.》.pdf

ChineseMedicalJournal2014,127(2) 239 Originalarticle Perioperativefactorsrelatedtoprognosisofregularhepatectomyin comparisonwithirregularhepatectomy FengZhiqiang，LiHongqi，ZhangJinqian，XuLining，XiaoMei，HuangZhiqiangandZhangHongyi Keywords：hepatectomy,perioperativeprocedures,prognosis Background Theaim ofthisresearchwastoanalyzetheperioperativefactorsofregularhepatectomyand irregular hepatectomy．Thesuperiorityoftheclinicalapplicationofthetwomethodswascomparedintheperioperativeperiod． Methods FrOm 1986 to2011．1798patientsunderwentconsecutive liverresectionswith regularhepatectomyand irregularhepatectomyattheAirForceGeneralHospitalofPeople’sLiberationArmyandtheGeneralHospitalofChinese People’sLiberationArmy．Theirmedicaldocumentationwasinvestigatedretrospectively． Results Inpatientsonwhom regularhepatectomyandirregularhepatectomywereperformed，therewasnosignificant difference inperioperativebloodloss，complications，in—hospitalmortality，hospitalstay，andsoon．Butinregular hepatectomy，operatingtimewasanindependentriskfactor(PO．001，OR=1．004)． Conclusions Therewasno significantdifferencebetweentheperioperativeriskofregularhepatectomyandthatof irregularhepatectomy． ChinMedJ2014；127(2)：239-245 Tnthemid一1950s，GoldsmithandWoodburnestressed BD．USA)scanwithin1monthbeforesurgery：patients 上thatliverresectionshouldstrictlyfollow theanatomic whosetumorpathologywaspurehepatocellularcarcinoma。 characteristicsoftheliver．andthereforeproposed ofrexamplecombinedhepatocellular-cholangiocarcinoma； theconceptofregularhepatectomy(regularhepatic andpatientswhocompletedthe6一monthofllow—uDperiod lobectomy)．alsoknownasanatomicalliverresection wereincluded．Alpha．fetoproteinlevel(AFP)andprotein (anatomicalhepatectomy)．Untilnow,