摘要
收集我科１９９０～１９９５年来应用常温下第一肝门阻断行肝切除治疗原发性肝癌，其中行右肝段切除术者共４０例，与同期右肝癌未加肝门阻断行右肝段切除术３０例比较，术后随访半年至５年。结果显示肝门阻断组手术时间缩短，术中出血量和围手术期出血量减少；术后并发症发生率除胸腔积液增高外，其余无明显差异；随访显示１、２、３年术后复发率明显下降；１、２、３年术后生存率明显增高。认为对于无肝硬变和合并轻、中度肝硬变、非中央型肝癌患者的肝切除术，常温下第一肝门阻断有应用价值。
Right segmental resection of the liver under normothermic hepatic inflow occlusion was performed during 1990-1995 in the treatment of 40 cases of HCC The result was compared with 30 cases of HCC treated during the same period by right segmental resection of the liver without hepatic inflow occlusion The two groups of patients were followed up for 1￣5 years Results:In the hepatic inflow occlusion group,the operation time shortened,with lesser amount of bleeding and blood transfusion There were no significant differences between the two groups in the incedence of complications except pleural effusion,which was higher in the hepatic inflow occlusion group Also,in the hepatic inflow occlusion group,the followed up observations showed that the 1,2,3 year recurrence rates were decreased and the 1,2,3 year survival rates increased Our results suggest that segmental resection of liver with normothermic hepatic inflow occlusion has some practical value for the treatment of HCC patients without cirrhosis or with only light or moderate degree of cirrhosis and non central type HCC
出处
《广西医科大学学报》
CAS
1997年第4期109-112,共4页
Journal of Guangxi Medical University
