Abstract:

Objective  To analyze intrahepatic recurrence after regular hepatectomy and irregular hepatectomy in hepatocellular carcinoma patients, aiming at improving therapeutic effect.   Methods   116 hepatocellular carcinoma patients surgically treated in our hospital from November 2013 to June 2014 were enrolled as subjects. All patients were randomly divided into regular hepatectomy and irregular hepatectomy group, 58 cases in each group. The liver function after six months, the recurrence rate after one year and the survival rate in two groups were compared.　Results　The serum albumin (ALB) in regular hepatectomy group was significantly higher, while TBIL, glutamic-pyruvic transaminase (ALT) and total bilirubin (DBIL) were significantly lower than that in irregular hepatectomy group at six months after surgery. T test showed that the differences between the two groups were all statistically significant (P<0.01). The 1-year recurrence rate in regular hepatectomy group was significantly lower than that in irregular hepatectomy group. 1-year survival rate in regular hepatectomy group were significantly higher (P<0.05). The differences between the two groups were statistically significant (P<0.05).　Conclusion　Regular hepatectomy treatment to hepatocellular carcinoma patients has better liver functional recovery, lower intrahepatic recurrence rate and higher survival rate. It can significantly improve the quality of life of patients.

Key words: Hepatectomy; , Hepatocellular carcinoma; , Recurrence