摘要
目的 探讨肝癌复发病人再次手术切除的可行性和疗效。方法 总结我院从 1995年 1月至 1998年 12月间肝癌手术后复发而再次手术的 18例共 2 7例次手术治疗前后的情况。结果本组 18例病人第 1次手术和第 2次手术的平均间隔为 (39± 14)个月 ,9例行第 3次手术的病人 ,第 3次手术与第 2次手术的平均间隔为 (2 1± 4)个月 (P <0 0 1) ,目前 18例病人仍存活 11例 ,已死亡的 7例均为已进行第 3次手术的病人 ,死亡时间距第 3次手术分别 9～ 13个月不等。 18例病人第 1次复发癌灶为 (1 9± 0 3)个 ,9例第 2次复发时平均癌灶为 (2 8± 0 6 )个 (P <0 0 5 )。结论 肝癌的复发癌灶再切除是延长肝癌病人生命的有效手段。
Objective To evaluate the curative effect of reoperation on postoperative recurrent hepatocellular carcinoma (HCC). Method From Jan.1995 to Dec. 1998, 18 recurrent HCC patients underwent 27 sessions of reoperation in our hospital. Result The mean interval between first and second operation among 18 patients was 39±14 months, and for the 9 cases, in which cancer recurred after second surgery, the mean interval between the second and the third operations was 21±4.5 months (P<0.01). Seven patients died from 9 to 13 months after the tertiary operation. In these 18 recurrent HCC cases, the number of cancer focus was 1.9±0.3, while in the 9 cases, in which cancer recurred after the second surgery, the number rose to 2.8±0.6(P<0.05). Conclusion Reoperation whenever the patient′s condition allows is effective in prolonging the survival of postoperative recurrent HCC patients.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第2期93-93,共1页
Chinese Journal of General Surgery
