关键词: 肝硬化, 门静脉高压症, 肝切除, 肝癌

Abstract: The incidence of liver cirrhosis is increasing,and portal hypertension(PH) caused by liver cirrhosis is widespread in China.Patients with cirrhosis and PH require liver resection due to primary or metastatic carcinomas.However,the incidence of perioperative complications,intraoperative management,and postoperative outcomes of expanded hepatectomy in patients with cirrhosis and PH remain a challenge.Barcelona Clinical Liver Cancer Staging recommends limiting surgical resection in liver cancer patients with cirrhotic to the early stages of cirrhosis presenting with PH.However,with the increase in the means and the gradual comprehensiveness of preoperative liver function evaluation,the standardization of perioperative liver disease management,the development of postoperative intensive care and liver resection techniques,it has become possible to perform extended liver resection in patients with cirrhosis and PH.Therefore,we conducted a review on the preoperative risk assessment,perioperative morbidity and mortality,and postoperative management of patients with liver cancer and cirrhotic completed with PH who underwent extended hepatectomy.

Key words: liver cirrhosis, portal hypertension, liver resection, liver cancer