Clinical Application Of Fissure For Ligamentum Teres Hepatic Approach In Hepatectomy

[Objective]To compare the clinical effectiveness of fissure for ligamentum teres hepatic(LTH) approach and Glissonean pedicle transection method in hepatectomy, and explore the security, feasibility and clinical value of fissure for LTH approach in hepatectomy.[Methods]Patients ,who were treated with the hepatectomy from 2nd affiliated hospital of KMU during Sep. 2014 to Jun. 2016 in our medical team are divided into group A(fissure for LTH approach, n=25) and group B(Glissonean pedicle transection method,n=27). To compare the basic clinical datas(average age, sex, preoperative Child-Pugh classification, history of liver cirrhosis and operation, range of hepatectomy,pathological types, operation plans). Also to compare the operating time, volume of intraoperative blood loss, intraoperative blood transfusion, postoperation liver function index, hospitalized time, rate of complication.[Results]There was no significant difference in basic clinical datas, operating time,volume of intraoperative blood loss, intraoperative blood transfusion, postoperation liver function index, hospitalized time, rate of complications between 2 groups.[Conclusion]Like Glissonean pedicle transection method, hepatectomy through fissure for LTH approach is safe, easily operable, especially for the adhesions of hepatic portal.This approach can apply to the hepatic left lateral lobectomy, left hemihepatectomy,mesohepatectomy.