摘要
目的 总结 3 80例小肝癌 (≤ 5cm )手术切除的效果。方法 1964～ 1999年共切除小肝癌 3 80例。2 89例为不规则肝切除术 ,91例为简化肝切除术。结果 3 80例小肝癌术后 5年生存率为 5 7 3 % ,<3cm为5 9 4 % ,3～ 5cm为 5 1 4 % ,不规则肝切除术为 5 2 3 % ,简化肝切除术为 62 5 % ,再次肝切除术为 2 4 7%。术后 3年复发率为 3 9 2 %。结论 对左叶或表浅和肝边缘的小肝癌作不规则肝切除术 ;对中央型、有包膜、深在小肝癌作简化肝切除术、手术切除效果满意。
Objective To sum up the results and experiences of hepatectomy for small liver cancer(≤5cm).Methods From 1964 to 1999,380 cases of small liver cancer underwent surgical resection in our hospital.Among them,289 cases underwent irregular hepatectomy,and 91 underwent reducing hepatectomy.Results The 5 year survival rate of 380 patients after resection was 57\^3%.The 5 year survival rates in patients whose tumor size was less than 3cm in diameter and between 3～5cm were 59\^4% and 51\^4%,respectively.In the patients who received irregular hepatectomy and reducing hepatectomy,the 5 year survival rates were 52\^3% and 62\^5%,respectively.The 5 year survival rate in repeated hepatectomy was 24\^7%.Conclusion The irregular hepatectomy is recommended to the tumor located in the left lobe,surface or edge of the liver while the reducing hepatectomy is recommended to the center type,well capsule and deep small liver cancer.The results of hepatectomy are satisfactory.
出处
《中国实用外科杂志》
CSCD
北大核心
2001年第8期485-487,共3页
Chinese Journal of Practical Surgery
关键词
小肝癌
肝切除术
疗效
Small liver cancer Hepatectomy Surgery
