Clinical Analysis Of Influencing Factors For The Recurrence Of Primary Hepatocellular Carcinoma After Hepatectomy

Objective:To explore the influencing factors of the recurrence for hepatocellular carcinoma(HCC) after surgery Methods:A retrospective survey about clinicopathological data was carried out in 53 recurrent patients with HCC underwent hepatectomy between Feb 1998 and Mar 2004. all the patients were divided into two follow-up groups, like early (≤2) and late (>2) recurrence groups and statistical analysis was done to evaluate the influence of age, sex, complain, HBsAg, Child grade, AFP,liver cirrhosis, tumor lesion, tumor size, tumor capsule, invasion, metastasis, resection margin, pathological grade, combined therapy, reoperation and bleeding volume during operation. Results:The recurrent patients within and after 2 years showed statistical differences on tumor size, tumor capsule, invasion, metastasis, resection margin, bleeding volume during operation, combined therapy and reoperation, the remained factors have not seen differences significantly. Conclusion:Clinicopathological factors of the short-term and long-term recurrence may be different, early diagnosis, standard hepatectomy, less bleeding loss and comprehensive treatment after operation may be crucial to improve prognosis.