巨大肝癌一期手术切除的临床分析  

Clinical analysis of primary operative resection for huge liver cancer

作　　者：王捷[1] 刘晓平[1] 刘超[1] 区庆嘉[1] 温建机 

机构地区：[1]中山大学附属第二医院肝胆外科,510120 [2]广西桂东医院普外科,梧州543000

出　　处：《岭南现代临床外科》2002年第3期131-133,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的 探讨巨大肝癌一期手术切除的可能性。方法 1996年6月～2001年8月,共收治巨大肝癌63例(直径>10 cm),其中 27例施行了一期手术切除,手术切除率为 42.9％。结果 无1例手术死亡。术后并发症:胸腔积液 18例,伤口因脂肪液化而裂开4例,术后随访2～52个月,6个月累计生存率为96％,1年累计生存率为51.8％。8例生存期>2年,3例>4年。结论 巨大肝癌只要有完整的包膜或边界清楚,无转移迹象,能够耐受切除大手术者,均应考虑首选一期切除手术,这亦将有助于提高根治率。Objective To study possibility of the primary resection for huge liver cancer. Methods From June 1996 to Augest 2001, 63 cases with huge liver cancer were admitted for treatment. One stage resection was performed in 27 cases of them. The resectional rate was 42. 9%. Results No death was found in all operative patients. Postoperative complications were hydrothorax in 18 cases, wound dehiscence due to fat liquidfy in 4 cases. Followed-up study were performed from 2 to 52 months postoperatively. The survival rate of six months were 96% , One year was 77. 8%. Survival period more than 2 years and 4 years were 8 cases and 3 cases respective-ly. Conclusion When the patients with huge liver cancer have a intact capsule or border clear, no metastatic manifestation and can tolerate a major operation, the primary resection should be considerated at first, and it would be contributed to the improvement of the radical rate.

关 键 词：巨大肝癌 一期手术 并发症 根治率 

分 类 号：R6[医药卫生—外科学]