Application Of The Method Of Selective Hemihepatic Vascular Occlusion In Hepatectomy Of The Hepatocellular Carcinoma In Qinghai Region

Objective : To evaluate effects Application of selective hemihepatic vascular occlusion in hepatectomy of the hepatocellular carcinoma in Qinghai region by collecting case data of Qinghai university affiliated hospital hepatic surgery.Methods : Qinghai university affiliated hospital hepatic surgery were retrospectively analyzed. from January 2011 to January 2014 were selected.they were divided into selective hemihepatic vascular occlusion group(groupⅠ) and Pringle group(groupⅡ) groups based on liver cancer resection methods, 23 cases in group A,25 cases in group B. Results : The differences of intraoperative blood loss, blood transfusion and operation time between the two groups were not significant(P> 0.05); The difference of blocking time between the two groups were significant(P <0.05),The blocking time of group Ⅰ were significantly longer than group Ⅱ.The differences of preoperative liver function indexes between the two groups were not significant(P> 0.05); the ALT, AST, TBIL of postoperative 1,3,7 days of group Ⅰ were significantly lower than group Ⅱ(P <0.05); The postoperative complication rate of group Ⅰ and group Ⅱ was 13%(3/23), 40%(10/25),and their difference was statistically significant(P<0.05). The postoperative complication rate of group Ⅰ was significantly lower than group Ⅱ. Conclusion : The method of selective hemihepatic vascular occlusion is better than Pringle in Qinghai region, which is a kind of simple vascular occlusion method and can effectively prevent the happen of the postoperative complications.