Abstract:Objective:To summarize the clinical experience of liver transplantation in the treatment of hepatocellular carcinoma (HCC).
Methods :From June 2004 to March 2007，70 consecutive HCC patients underwent liver transplantation in our hospital, including classic orthotopic liver transplantation in 41 cases, and piggyback liver transplantation in 29 cases. All data of patients were retrospectively analyzed.
Results:All liver transplantation were successfully conducted .The average warm ischemia duration was 4.5 minutes, and cold ischemia duration was 8 hours. There were 3 cases of postoperative deaths. Surgical complications were intra-abdominal hemorrhage in 2 cases， and biliary anastomotic stricture in 4 cases. Sixty-seven cases were followed up for 12-33 (average 21) months, 10 cases had recurrence of liver cancer after transplatation and 1 dead.
Conclusions:Liver transplatation can used on selected patients with HCC. Successful liver transplantation relies on good quality of liver graft， and idealized technique of vascular and bile duct reconstruction are key factors of liver transplantation. Proper postoperative management can effectively reduce the complications of operation.