ABSTRACT

 

Objective: This study aims to investigate the application of Glisson pedicle transection hepatectomy in the anatomic hepatic resection.

 

Methods: Forty-five patients with hepatocellular carcinoma (HCC) were treated by liver resection using Glisson pedicle transection hepatectomy by the same surgical group during June, 2009 and June, 2012 and their clinical data during the peri-operative period were retrospectively analysed. Follow-up was performed for one-year.

 

Results: In the selected 45 cases, 82.2% (37/45) of the patients underwent anatomical hepatectomy. Bile leakage and bleeding occurred in six cases during the belting of the three main hepatic pedicles, which were treated by local compression or proper stitching. The recurrence rate one-year after surgery was 15.6% (7/45) and the survival rate was 80.0% (36/45) in one-year.

 

Conclusion: Glisson pedicle transection hepatectomy had advantages of embodying regional hepatichilus blocking and avoiding the cumbersome anatomy of hepatichilus vessels. It is also consistent with the principles of radical cure for tumours and precise liver resection.