摘要
直径> 10 cm的肝细胞癌称为巨大肝癌。我国肝癌患者合并慢性乙型肝炎、丙型肝炎及肝硬化的比例较高,且就诊时间晚,临床确诊的巨大肝癌患者数量较多。由于肿瘤体积巨大,常侵犯邻近脉管结构,压迫正常肝组织,引起严重肝功能障碍,患者生存期缩短,选择更有效的治疗方案可延长患者生存时间。本文就巨大肝癌患者的外科治疗适应证、术前准备、术中相关操作及非手术治疗等进行综述。
The diameter of hepatocellular carcinoma>10 cm is called giant liver cancer.In China,the ratio of patients with liver cancer complicated with chronic hepatitis B,hepatitis C and liver cirrhosis was high,the treatment timepoint was late,and the number of patients with giant liver cancer confirmed by clinical diagnosis was much larger.As the tumor volume is large,the adjacent vascular structure is often violated,and the normal liver tissue is compressed,thus the patients’ liver function is poor,and the survival time is shortened,so a more effective treatment scheme is needed to prolong the survival time of the patients.The indications of surgical treatment,preoperative preparation,intraoperative procedures and non-operative treatment of giant liver cancer were reviewed in this paper.
作者
钟坤雨
鞠蔚华
刘江伟
刘延
黄建钊
ZHONG Kun-yu;JU Wei-hua;LIU Jiang-wei;LIU Yan;HUANG Jian-zhao(Department of Hepatobiliary Surgery,People’s Hospital Affiliated to Guizhou Medical University,Guiyang 550002,China)
出处
《中国肝脏病杂志（电子版）》
CAS
2019年第1期1-5,共5页
Chinese Journal of Liver Diseases：Electronic Version
基金
贵州省肝脏外科科技创新人才团队(黔科合人才团队[2014]4008号)
关键词
巨大肝癌
外科手术
Giant liver cancer
Surgical treatment
