摘要
目的 探讨小肝癌术后肝功能衰竭的原因和防治。方法 回顾性分析近 4年我院小肝癌切除的临床资料。结果 近 4年我院共行直径 <3cm小肝癌 5 2 6例 ,术后发生肝功能衰竭者 2 4例 (4.5 6 % ) ,其中行肿瘤切除附加门奇断流术者占83.33%。与无肝功能衰竭者相比 ,术后出现肝功能衰竭的患者术中出血量明显多于后者 (P<0 .0 1)。结论 术中出血量多、附加其他手术致手术创伤大是合并严重肝硬化的小肝癌切除术后肝功能衰竭重要原因 ,对小肝癌 ,尤其是合并门脉高压症者 。
Objective To investigate the cause of hepatic failure,which developed after hepatectomy for sm all prim ary liver cancer associated with severe cirrhosis,and the strategy to avoid it.Methods Analysis of clinical data of small prim ary liver cancer patients underwent hepatectomy in the past four years retrospectively.Results There were 5 2 6 patients with small prim ary liver cancer(<3cm in diam eter) underwent hepatectomy during the past four years totally.2 4 patients had hep- atic failure after hepatectomy(4.5 6 % ) ,the amount of intraoperative bleeding in the patients with post- operative hepatic fail- lure was much more than that in the other patients(P<0 .0 1) ,Among the 2 4 patients,the patients underwent both hepatecto- my and the operation for portal hypertension sim ulataneously were 2 0 cases (83.33% ) .Conclusion The amountof intraoper- ative bleeding and the extra operative traum a dued to the associated operation for portal hypertension during hepatectom y are im portant risk factors for the hepatic failure of patients with sm all HCC after opertaion.We claim that extending eradical re- section and other operations for portal hypertension during hepatectomy should not be done before profound consideration to the patients with small HCC.
出处
《肝胆外科杂志》
2002年第6期425-427,共3页
Journal of Hepatobiliary Surgery
