摘要
目的 探讨肝切除手术并发症的预防和治疗。 方法 1998～ 1999年所进行的 176 2例肝癌肝切除手术所发生的并发症进行分析总结。肝切除的方法为半肝切除、肝叶切除、肝段切除和肝部分切除。 结果 176 2例中总的并发症发生率为 4 0 9% ,因并发症死亡的总病死率为 0 4 0 %。术中出血、术后出血、肝功能衰竭、胸腔积液、膈下积液和感染、胆汁漏和切口感染裂开的发生率分别为 0 96 %、0 2 8%、0 5 1%、1 87%、0 17%、0 17%和 0 11% ;前三者的病死率分别为 0 0 6 %、0 0 6 %和0 2 8%。 结论 严格掌握肝切除适应证、充分的术前准备、熟练的手术技巧和认真的手术操作。
Objective To study the prevention and treatment of complications after hepatectomy. Methods From January 1998 to December 1999, 1 762 patients with pathologically proven primary liver cancer underwent hepatectomy. The types of resection included lobectomy, segmental resection and local hepatectomy. Results The total complication rate was 4 09% and the total mortality was 0 40%. The rates of intraoperative bleeding, postoperative bleeding, hepatic failure, stockpiling fluid of the pleural cavity, residual fluid under the diaphragm, bile leakage and infection of incision were 0 96%, 0 28%, 0 51%, 1 87%, 0 17%, 0 17% and 0 11% respectively The mortality of the former three complications were 0 06%, 0 06% and 0 28% respectively. Conclusions The complications can be prevented effectively and the mortality can be decreased markedly after hepatectomy by strict control of the indications, sufficient preoperative preparation, better surgical skills and close observation of postoperative state and comprehensive postoperative treatment.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2002年第5期332-335,共4页
Chinese Journal of Surgery
关键词
肝切除术
术后并发症
原发性肝癌
预防
治疗
Carcinoma, hepatocellular
Hepatectomy
Postoperative complications
