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为了解肝癌患者围手术期处理与预后的关系，收集手术治疗的肝癌患者65例，术后死亡13例。术前肝功能储备A级者术后死亡率6．5％，而B级和C级者在30％以上。术前有合并症者30例，术后并发症发生率70％，死亡率40％；术前无合并症者35例，术后并发症发生率29％，死亡率2．9％。手术前后肝功能和术中失血量与预后显著相关。认为手术前后改善肝功能状况，治疗各种合并症，术中控制出血，限制入肝血流阻断时间在35分钟以内，肝切除量在50％以下，能有效地减少术后死亡率。
To understand the relationship between perioperative management and prognosis of patients with liver cancer, 65 patients with hepatocellular carcinoma who received surgical treatment were collected and 13 patients died after surgery. Preoperative mortality was 6.5% for patients with A grade liver function reserve, and 30% for grade B and C patients. There were 30 patients with complications preoperatively, 70% postoperative complications and 40% mortality; 35 patients without complications before surgery, 29% postoperative complications, and 2.9% mortality. Liver function and intraoperative blood loss before and after surgery were significantly associated with prognosis. It is believed that the improvement of liver function before and after surgery, treatment of various complications, intraoperative bleeding control, restriction of blood flow to the liver within 35 minutes, and hepatectomy less than 50% can effectively reduce postoperative mortality.