Application value of directly opened liver section and the drainage of preventive T tube in hepatectomy for liver cancer

Abstract

Objective To investigate the surgical methods to reduce liver dysfunction,the bile leakage after liver cancer surgery.Methods 97 cases of hepatectomy were selected from June 2004 to June 2012,among them,50 cases used traditional mattress-suture of liver section (the suture group),47 cases used directly opened liver section and drainage of preventive T tube (the open group),comparatively analyzed the operative time and postoperative fever,the WBC,transaminases,bilirubin,bloody drainage fluid and bile leakage.Results Operative time and bloody fluid drainage were not statistically significant different (P＞0.05),while the duration of fever,elevated time of WBC,elevated time of transaminase,elevated time of bilirubin time,bile leakage were significantly less than those of the suture group (P＜0.05).Conclusion Directly opened liver section and drainage of preventive T tube plays certain positive role of reducing bile leakage and liver dysfunction in hepatectomy for liver cancer. Key words: Hepatectomy; Liver section; Mattress-suture; Preventive; T-tubee