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逆行法肝切除术在肝癌手术中的应用 被引量:8

Retrograde hepatectomy for difficult hepatocellular carcinoma
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摘要 目的探讨逆行法肝切除术的切除率及其安全性。方法1994年6月至2005年12月同一手术组共切除难切性肝癌574例,其中用逆行法切除543例(甲组),用传统方法切除31例(乙组)作为对照。结果两组均无围手术期死亡,甲组术中失血量和术后并发症发生率均明显低于乙组(P〈0.01)。结论难切性肝癌行逆行肝切除术可明显提高切除率和安全性。 Objective To observe the resectability and surgical safety of retrograde hepatectomy for difficult hepatocellular carcinoma. Methods Difficult hepatocellular carcinoma was resected in 574 cases from June 1994 to December 2005, of which 543 cases ( group A) were treated with retrograde hepatectomy and 31 ( group B) with traditional technique. Results No perioperative death was observed in both groups. Blood loss and postoperative complication in group A were significantly lower than that in group B ( P 〈 0. 01 ). Conclusion Retrograde hepatectomy can definitely improve the resectability and surgical safety for difficult hepatocellular carcinoma.
出处 《中华消化外科杂志》 CAS CSCD 2007年第3期191-193,共3页 Chinese Journal of Digestive Surgery
关键词 肝细胞癌 肝切除术 逆行 Hepatocellular carcinoma Hepatectomy Retrograde
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