Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Journal of Hepatobiliary Surgery》 1998-05
Add to Favorite Get Latest Update

SURGICAL TREATMENT FOR HEPATOCELLULAR CARCINOMA:THE HONGKONG'S EXPERIENCE

Fan Sheung Tat; WuYang.(Department of Surgery,Queen Mary Hospital,the University of HongKong, 102 Pokfulam Road,HongKong,China)  
Hepatocellular carcinoma (HCC) is the second commonest killing cancer in HongKong. Hepatectomy is the commonest and most effective curative treatments for HCC. Over the last 9 years,at Queen Mary Hospital of the University of HongKong,the surgical techniques and perioperative management in hepatectomy for HCC have evolved into a standardized protocol. To avoidunnecessary laparotomy,careful preoperative evaluation of the extent of the tumour spread and the liver function are important.Uitrasonic dissector and Pringle maneuver can reduce blood loss effectively during hepatectomy. The postoperative care and perioperative nutritional support are equally important to secure success in hepatectomy. The hospital mortality rate after hepatectomy decreased from 28% in 1989 to 0% in 1996 and 1997 at Queen Mary hospital. In the last 4 years,the median blood transfusion requirement was 0ml 1 and 64% of the patients did not require blood trans fusion in hepatectomy. During the last 2 years,hospital mortalityin 110 consecutive patients was zero. On multivariate analysis,the volume of blood loss,volume of blood transfusion and operationtime are correlated postitively with postoperative morbidities. Blood transfusion,TNM staging and preoperative ICG value are majorfactors in determining tumour recurrence while the volume of blood loss,preoperative ICG value and TNM staging are the predictive factors of overall survival. Avoidance of bleeding, blood trans fusion and reducing the duration of operation should be allsurgeons endeavour in offering the patients with HCC a reasonable degree of prolongation of life.
【CateGory Index】: R735.7
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
【References】
Chinese Journal Full-text Database 3 Hits
1 LAO Xiang-Ming1,ZHANG Ya-Qi1,GUAN Yuan-Xiang2,GUO Rong-Ping1,LIN Xiao-Jun1,YUAN Yun-Fei1,LI Jin-Qing1,LI Guo-Hui1 1.Department of Hepatobiliary,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong,510060,P.R.China 2.Department of Abdominal Surgery,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong,510060,P.R.China;Evaluation of Liver Reserve Function by ICGR15 Detection before Hepatectomy for Hepatocellular Carcinoma[J];Chinese Journal of Cancer;2004-10
2 Li Rongxing,Li Jinlong,Pan Wanneng,et al. Department of Hepatobiliary Surgery,The Fifth People's Hospital of Panzhihua,Sichuan,Panzhihua 617000;CLINICAL ANALYSIS OF 69 CASES HEPATECTOMY[J];Journal of Hepatobiliary Surgery;2001-05
3 QIN Kai1,NIE Shuang-fa2,ZENG Yong3 (1.Department of the Second Surgery,Dujiangyan Medical Centers,Dujiangyan 6118302,Sichuan;2.Department of General Surgery,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei;3.West China Hospital,Sichuan University,Chengdu 610041);Clinical significance of serum gamma globulin for the evaluation of preoperative hepatic functional reservation[J];Medical Journal of West China;2011-02
【Co-citations】
Chinese Journal Full-text Database 2 Hits
1 Sheung Tat Fan Hong Kong, China Centre for the Study of Liver Disease and Department of Surgery, The University of Hong Kong, Pokfnlam, Hong Kong, China;Protection of the liver during partial hepatectomy[J];国际肝胆胰疾病杂志(英文版);2004-04
2 ;Factors of Death after Hepatectomy in-Hospital and Prevention and Cure[J];Chinese Journal of Bases and Clinics in General Surgery;2008-02
【Co-references】
Chinese Journal Full-text Database 10 Hits
1 Yuan Yunfei Zhang Yaqi Chen Mingshan Guo Rongping Lin Xiaojun Li Jinqing(Tumor Hospital,Sun yat-sen University of Medical Sciences,Guangzhou,510060);The evaluation of hepatic cirrhosis severity during operation for patients with primary liver cancer[J];Chinese Journal of Cancer;1997-01
2 LAO Xiang-Ming1,ZHANG Ya-Qi1,GUAN Yuan-Xiang2,GUO Rong-Ping1,LIN Xiao-Jun1,YUAN Yun-Fei1,LI Jin-Qing1,LI Guo-Hui1 1.Department of Hepatobiliary,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong,510060,P.R.China 2.Department of Abdominal Surgery,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong,510060,P.R.China;Evaluation of Liver Reserve Function by ICGR15 Detection before Hepatectomy for Hepatocellular Carcinoma[J];Chinese Journal of Cancer;2004-10
3 LAO Xiang-Ming, ZHANG Ya-Qi, LIN Xiao-Jun, GUO Rong-Ping, CHEN Min-Shan, YUAN Yun-Fei, LI Jin-Qing, LI Guo-Hui Department of Hepatobiliary, Cancer Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, P.R.China;Estimation of Hepatic Resection Volume in Hepatocellular Carcinoma by ICG_(R15) and Its Relation with Postoperative Liver Failure[J];Chinese Journal of Cancer;2005-03
4 YAN Jian-Jun , YAN Yi-Qun, HUANG Liang, ZHOU Fei-Guo. WU Meng-Chao(The First Hepatic Surgery Department. Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438,China);Clinical value of peri-operative detection of prealbumin in patients with primary liver cancer[J];Academic Journal of Second Military Medical University;2003-04
5 Ruan Xiuhua, Zhang Xiaoben, Ren Lijun, et al.Institute of Medical Science,Kaifeng,Henan 475000.;Relationship between the infection of hepatitis B virus and the occurrance of primary hepatocarcinoma.[J];Journal of Clinical Hepatology;2004-01
6 Du Chengyou,Yang Zukei,Wang Honglin,et al.Department of Hepatobiuiary Surgery.First Affiliated Hospital.Chongqing University of Medical Sciences,Chongqing,400016.;LIVER CANCER IN THE YOUNG ADULT——A REPORT OF 24 CASES[J];JOURNAL OF HEPATOBILIARY SURGERY;2000-03
7 Li Hong,Hu Yili,Wang Yi,et al.Department of Hepatobiliary Surgery, Qingdao Municipal Hospital, Qingdao,266011;UNOIN OPERATION TREATMENT HEPATIC CARCINOMA WITH PORTAL HYPERTENSION[J];JOURNAL OF HEPATOBILIARY SURGERY;2000-05
8 Li Rongxing,Li Jinlong,Pan Wanneng,et al. Department of Hepatobiliary Surgery,The Fifth People's Hospital of Panzhihua,Sichuan,Panzhihua 617000;CLINICAL ANALYSIS OF 69 CASES HEPATECTOMY[J];Journal of Hepatobiliary Surgery;2001-05
9 ZHANG Jing,WANG Wen-liang,LI Qing,et al.Department of Pathology,Xijing Hospital,Fourth Military Medical University,Xi'an,710032,China);EXPRESSION AND SIGNIFICANCE OF TRANSFORMING GROWTH FACTOR-α AND HEPATITIS B SURFACE ANTIGEN IN HUMAN HEPATOCELLULAR CARCINOMA AND LIVER CIRRHOSIS TISSUES[J];Journal of Hepatobiliary Surgery;2004-06
10 HE Peng,QIU Yu-dong,DING Yi-tao,et al.Department of Hepatobiliary Surgery,Nanjing Drum tower Hospital Affiliated Nanjing University Medical College,Nanjing 210008,China;CLINICAL APPLICATION OF ICG CLEARANCE TEST FOR HEPATIC RESERVE FUNCTION BY PULSE DYE DENSITOMETRY[J];Journal of Hepatobiliary Surgery;2006-03
【Secondary References】
Chinese Journal Full-text Database 10 Hits
1 LAO Xiang-Ming, ZHANG Ya-Qi, LIN Xiao-Jun, GUO Rong-Ping, CHEN Min-Shan, YUAN Yun-Fei, LI Jin-Qing, LI Guo-Hui Department of Hepatobiliary, Cancer Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, P.R.China;Estimation of Hepatic Resection Volume in Hepatocellular Carcinoma by ICG_(R15) and Its Relation with Postoperative Liver Failure[J];Chinese Journal of Cancer;2005-03
2 SUN Yonggang,LI Jiansheng,JIA Weidong,et al.Centre for the Study of Liver Cancer,Department of Hepatic Surgery,Provincial Hospital Affiliated to Anhui Medical University,Hefei 230001,P.R.China;Estimation of hepatic resection volume by SPECT in patients with primary liver cacer[J];Journal of Clinical Hepatology;2011-02
3 (LI Rong-xiang,LI Jin-long,HE Ping,et al.Dept of Hepatobiliary Surgery,The Fifth People's Hopital of Pan Zhi-hua,Pan Zhi-hua 617000,China);CLINICAL APPLICATION OF LIGATION HEPATIC ARTERY IN COMPLEX HEPATIC TRAUMA[J];Journal of Hepatobiliary Surgery;2006-04
4 SUN Qi-dong, WANG Wei-shan(Yishui Central Hospital ,Shandong Yishui 276400,China);Curative Effect Analysis of Hepatectomy for the Treatment of 82 Patients with Primary Liver Cancer[J];Hebei Medicine;2005-01
5 MENG Xiang-fei,ZHOU Ning-xin,GAO Li-jie,et al(The Hepatobiliary Institute of PLA General Hospital,Beijing 100853);Value of PDD Method for EHBF Test in Evaluating Pre-Operation Hepatic Function Reserve[J];Journal of Clinical Research;2007-03
6 YAO Quan-jun,LU Wu-sheng,LIU Wei.Department of Intervention,Henan Provincial Tumor Hospital,Zhengzhou 450003,China;The determination of liver reserve function before chemoembolization in patients with primary hepatocellular carcinoma:its clinical significance[J];Journal of Interventional Radiology;2009-10
7 ZHAO Xue-feng1,2,LV Hai-long1,ZHANG Shi-jie1,A Du-wayi1, WU Xiang-wei1,YANG Hong-qiang1,PENG Xing-yu1(1.Department of hepatobiliary surgery,the first affiliated hospital of the Shihezi Uiniversity School of Medicine,Xinjiang shihezi,832008;2.Department of general surgery,Xinjiang Yili Hazakh autonomous prefecture Kuitun hospital,Xinjiang kuitun,833200);Devascularization of liver with portal hypertension hemodynamics and liver reserve function[J];Journal of Nongken Medicine;2011-01
8 ZHANG Wen-miao,WANG Qiao-gui,LU Tian-yu,JIN Wei,WU Jun(Department of Anesthesiology,Affiliated Drum-Tower Hospital of Medical College of Nanjing University,Nanjing 210008,Jiangsu,China);Evaluation of liver functional reserve and extubation time by indocyanine green excretion test[J];Progress in Modern Biomedicine;2010-17
9 Xie Ping,Li Jindong,Cui Lijun,et al(Affiliated Hospital of Chuanbei College,Sichuan 637000 China);Application and nursing care of DDG-3300K liver reserve analyzer in Hepatobiliary Surgery[J];Chinese Nursing Research;2011-11
10 HUANG Rong-hai,MU Yi,JIANG Li,ZHANG Ke,LI Chuan-sheng,LU Yan,HE Rong,MAO Yu. Beijing Ditan Hospital,Beijing 100011,China;Clinical application of ICG clearance test for hepatic reserve function by pulse dye densitometry[J];The Journal of Practical Medicine;2008-24
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved