Abstract
Objective To investigate the possibility and the changing of the method of surgical excision for large hepatocellutar carcinoma(HCC).Methods The clinical data of 38 cases with large HCC treated in our hospital from May 2003 to December 2006 were retrospectively analyzed.The av-erage diameter of the 38 cases was 14.4 cm(10.5-27 cm).The hepatic artery and portal vein of the trouble side were ligated firstly in the operation and then the retrohepatic tunnel established.We took the method of the former approach to resect tumors retrogradely.Results The operation was success-fully conducted in all the 38 cases and the average amount of bleeding was 850ml(300-2700 ml).No death occurred during hospitalization.The 1-,2-and 3-year survivaI rates were 78.9%,57.9%and 39.5%.respectively.Conclusion It is safe to resect the large HCC through the retrohepatic tunnel. Key words: Carcinoma hepatocellular; Hepatectomy; Retrohepatic tunnel
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