Perioperative management of patients with primary hepatocellular carcinoma complicated with diabetes mellitus

LI Nan, YANG Jia-he,DING Guang-hui, et al. Eastern Hepatobiliary Surgery Hospital of SMMU, Shanghai 200438, China  

Objective To summarize the experience of perioperative management of the patients with primary hepatocellular carcinoma complicated with diabetes mellitus.Methods Thirty-six cases of diabetic patients with primary hepatocellular carcinoma were retrospectively analyzed.Results All of the 36 cases underwent hepatectomy. The blood glucose concentration in 29 cases was controlled preoperatively between 6.7 mmol/L to 10.0 mmol/L, and that in the remaining cases between 10.2 mmol/L to 13.4 mmol/L. The incision of 31 and 5 cases was healed up with grade A and B respectively.Conclusion It is very important to control perioperative blood glucose in patients with primary hepatocellular carcinoma complicated with diabetes mellitus. The monitoring of blood and urine glucose and standardization of perioperative intensive therapy with insulin are the keys to the prevention of postoperative complications.

【Key Words】： Primary hepatocellular carcinoma Diabetes mellitus Insulin Postoperative complications
【CateGory Index】： R735.7
【DOI】： CNKI:SUN:FBWK.0.2005-03-018

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