The Analysis Of Risk Factors Contributing To Hospital Mortality In Hepatocellular Carcinoma Patients Receiving Hepatectomy

Objective：To explore risk factors contributing to hospital mortality inhepatocellular carcinoma patients receiving hepatectomy in the FirstAffiliated Hospital of Guangxi Medical University that might helpimproving clinical quality.Methods：In retrospective analysis of1403cases of hepatectomy forHCC in the First Affiliated Hospital of Guangxi Medical University,25patients died after operation (1.7%).75cases of control were matched byage and sacrificed liver volume. Clinical and pathological data includingClonorchis sinensis, Medical chronic diseases, Child-Pugh classification，Cirrhosis of the liver,Portal hypertension, Perioperative chemotherapy，Liver parenchymal transection (CUSA),Child-Pugh classification inphases relative liver resection volume, Operation time，The amount ofbleeding，Block the hepatic portal time were collected and analyzed.Results: Intraoperative bleeding, liver cirrhosis, portal hypertension,preoperative liver function (Child-Pugh scoring) were independent risk factors for hospital mortality after hepatectomy （p<0.05）. Patients withhigh Child-Pugh scoring, with more blood loss during operation, withsevere liver cirrhosis and with concomitant portal hypertension were athigh risk of death after hepatectomy.Conclusion: Stick to stringent indications, sufficient peri-operationmanagement, appropriate timing of operation, excellent skills to reduceblood loss and comprehensive post-operation monitoring night reducehospital mortality of hepatectomy for HCC.