手术切除肝脏巨大肿瘤63例经验总结  

Surgery for large liver tumor:an experience on 63 patients

作　　者：蒋谦[1] 韦达[1] 王太洪[1] 顾荣民[1] 陆保成[1] 文旭[1] 

机构地区：[1]江苏省肿瘤医院普外科,南京210009

出　　处：《临床肿瘤学杂志》2007年第8期604-605,608,共3页Chinese Clinical Oncology

摘　　要：目的:探讨手术治疗肝脏巨大肿瘤的可行性及疗效。方法:自2000年1月～2005年6月间行手术治疗63例巨大肝脏肿瘤(其中原发性肝癌53例),采用常温下间歇性肝门阻断,阻断时间6～48分钟。结果:本组肝切除术取得较好疗效,原发性肝癌患者的1、3、5年生存率分别为63.4%、36.5%和15.4%,8例出现明显的并发症,仅1例(1.59%)术后20天死于肝功能衰竭。结论:如能掌握好手术适应证和手术技巧,手术治疗肝脏巨大肿瘤是安全和有效的。Objective：To evaluate the feasibility and effect of hepatectomy for patients with huge neoplasms of liver. Methods： From January 2000 to June 2005,63 patients with huge hepatic neoplasms underwent hepatectomy, including 53 patients with primary liver cancer. All resections were performed under normothermic interruption of the porta hepatis at several times and these interruptions lasted 6 to 48 minutes. Results：The relatively good effect was seen in our series of rections. The 1-, 3-, 5-year survival rates for patients with primary liver cancer were 63.4% , 36. 5% and 15.4%, respectively. Main complications were present in 8 patients and only 1 case （ 1.59% ） died of hepatic failure after 20 days of operation. Conclusion ： Hepatectomy is safe and effective in the treatment of huge hepatic neoplasms if its indications and operative techniques are mastered properly.

关 键 词：肝肿瘤 肝切除术 存活率 

分 类 号：R735.7[医药卫生—肿瘤]