摘要
目的 探讨巨大肝细胞癌切除的安全性和可行性。方法 237 例巨大肝细胞癌病人,肿瘤平均直径14 3 cm,采用间歇性入肝血流阻断下进行肝肿瘤切除。结果 237例肿瘤均得以顺利切除,无严重并发症,仅8例术后死于肝功能衰竭和上消化道出血。肝门阻断时间平均 18 min,出血量平均740 ml。术后半年、1 年、2 年、3 年、5 年生存率分别为 88 3%、62 1%、40 4%、23
Objective To evaluate the safety and feasibility of hepatic resection for huge primary hepatocellular carcinoma (HCC). Methods A total of 237 cases of HCC with a mean diameter of 14 3 cm were treated with hepatectomy under intermittent occlusion of hepatic inflow. Results Hepatectomy was successfully performed in all the 237 cases. The mean time of occlusion of hepatic inflow was 18 min and the mean blood loss was 740 ml. No serious complications occurred. Only 8 patients died of hepatic failure and upper gastrointestinal hemorrhage postoperatively in this series. The postoperative half , 1 , 2 and 5 year survival rates were 88 3%, 62 1%, 40 4%, 23 7% and 17 2%, respectively. Conclusions Though the resection of huge HCC is quite difficult, it is safe and feasible if suitable surgical technique and perioperative management are adopted.
出处
《中华肝胆外科杂志》
CAS
CSCD
2005年第2期78-80,共3页
Chinese Journal of Hepatobiliary Surgery
