Clinical Study Of Child-Pugh Classification Combined With ICG R15,Fibroscan And Liver 3D Printing Technique For Safety Of Hepatocarcinoma Resection

Objective To explore the preliminary clinical study of the safety of liver cancer resection with Child-Pugh classification combined with ICG R15,Fibroscan and Liver 3D printing technique.Methods Ninety-five cases of primary liver cancer patients underwent hepatectomy in July 2016 to October 2017 as the study object.To evaluate by Child-Pugh classification and new classification for their pre-and-post operative hepatic reserve function,and the precision of two classifications to predict hepatic functional compensation were measured.The patients were divided into two groups: the liver 3D print group and the non-liver 3D print group.The operative time,bleeding volume,blood transfusion rate and complication rate were compared between the two groups.Results The precision of Child-Pugh classification to predict hepatic functional compensation and mild hepatic functional decompensation was 68.75% and 64.52%,respectively,which were 84.91% and 84.21% for new classification,respectively.In the liver 3D print group,the operative time,bleeding volume,blood transfusion rate and complication rate were(178.3±88)min,380.0 ml,27.87%(17/61),32.78%(20/61).In the non-liver 3D print group,the operative time,bleeding volume,blood transfusion rate and complication rate were(216.1±101)min?450.0 ml?38.23%(13/34)?41.18%(14/34).There was significant difference between the two groups(P<0.05).Conclusions The new liver scoring system combined with liver 3D printing technology can be more comprehensive and accurate than Child-Pugh classification Preoperative assessment of primary liver cancer patients,and improve the safety of hepatectomy surgery.It has a certain clinical value.