摘要
目的 总结难切性肝癌的肝切除方法。方法 1994年 6月至 1999年 6月应用逆行肝切除术切除癌灶巨大、显露困难或紧密粘连甚至侵犯相邻器官和累及下腔静脉的难切性肝癌 178例(甲组 )。同期用常规方法切除类似难切性肝癌 31例用作对照 (乙组 )。结果 两组均无围手术期死亡 ,甲组术中失血量为 (1336± 994)ml,乙组为 (2 2 86± 136 3)ml,P <0 0 1,术后并发症发生率也明显低于乙组 (P <0 0 1)。
Objective To sum up the experience of difficult hepatectomy for liver cancer. MethodsRetrograde hepatectomy combined with vascular surgical technology was carried out in 178 patients with huge liver cancer, poor exposure, or involvement of IVC and adjacent organs (group A). During the same period classic hepatectomy was performed in 31 patients with similar local difficuties as control (group B). Results There was no perioperative mortality. Intraoperative blood loss was significantly less in group A than that in group B (1?336±994?ml vs. 2?286±1?363?ml, P <0 01). The postoperative complications rates were lower in group A than in group B ( P <0 01). Concluion The retrograde hepatectomy combined with surgical skill are safe and suitable for difficult hepatectomy in liver cancer.
出处
《中华普通外科杂志》
CSCD
北大核心
2001年第4期197-198,共2页
Chinese Journal of General Surgery
