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大肝癌的外科治疗体会 被引量:12

Experience of surgical management for large hepatocellular carcinoma
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摘要 目的 探讨手术切除大肝癌的可行性和安全性。方法 回顾性分析总结我院近 10年施行手术切除的 78例大肝癌的资料 ,并与同期手术治疗的 2 7例小肝癌进行比较。结果 大肝癌组施行的手术切除范围、术中失血量显著大于小肝癌组 ,手术时间亦明显长于小肝癌 ,因而并发症率也高 (P <0 .0 5 ) ,但两组间的死亡率并无显著差别 (P >0 .0 5 )。结论 大肝癌应积极地进行手术切除。经过仔细地选择病例 ,手术切除是安全可行的。 Objective To investigate the possibility and the safety of resecting large hepatocellular carcinoma.Methods 78 cases of large hepatocellular carcinoma were analyzed retrospectively and compared with 27 cases of small hepatocellular.Results The extension of resection, blood loss, operational duration and morbidity in the large hepatocellular carcinoma group were significantly greater than those in small counterpart (P<0.05). But there was no significant difference in mortality between the two groups.Conclusions It is advisable to resect large hepatocellular carcinoma actively. The hepatic resection is safe and feasible in selected patients with large hepatocellular carcinoma.
出处 《临床外科杂志》 2001年第1期11-13,共3页 Journal of Clinical Surgery
关键词 肝细胞癌 大肝癌 肝切除术 治疗 Hepatocellular carcinoma Large hepatocellular carcinoma Hepatic resection`
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参考文献4

  • 1[1] Tanaka A, Morimoto T, Ozaki N, et al. Extension of surgical indication for advanced hepatocellular carcinoma. Hepatogastroenterol, 1996, 43::1172-1181.
  • 2[2] Lee NH, Chau GY, Lui WY, et al. Surgical treatment and outcome in patients with a hepatocellular carcinoma greater than 10cm in diameter. Br J Surg, 1998, 85:1654-1657.
  • 3[3] Nagasue N, Kohno H, Tachibana M, et al. Prognostic factors after hepatic resection for hepatocellular carcinoma associated with Child-Turcotte class B and C cirrhosis. Ann Surg, 1999, 229:84-90.
  • 4[4] Poon RTP, Fan ST, Wong J. Risk factors, prevention, and management of postoperative recurrence after resection of hepatocellular carcinoma. Ann Surg, 2000, 232:10-24.

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