Vale of hepatectomy in treatment of liver diseases

To explore the value of hepatectomy in treatment of live diseases. The clinical data of 272 patients with live diseases0 treated with hepatectomy in our hospital from 1992 to2003 were retrospectively analyzed. The present study is aimed to explore the incidence of hepatectomy, the method of surgical procedure and the management of pre and postoperation with primary liver cancer and liver angioma and intrahepatiocbile duct stone. The complication rate was 22.00% after the operation, the death rate was 2.00%. Of them 185 cases from primary liver cancer,the overall 1, 3, 5, years survival rate was 83.32%, 45.87%, 18.43% respectively. [Conclusions] Though hepatectomy may result in a relatively high overall morbidity. Decreasing blood loss, controlling the volume for hepatectomy and reducing operative duration are crucial for decreasing the morbidity and mortality. Meanwhile, complete hepatic vascular occlusion and autotransfusion can improve the safety of hepatectomy.