多种肝血流阻断下的解剖性肝切除术治疗原发性肝癌  

THERAPEUTIC EFFECT OF ANATOMICAL LIVER RESECTION FOR HEPATOCELLULAR CARCINOMA WITH MULTI-METHOD VASCULAR OCCLUSION

作　　者：杨俊山[1] 孙广新[1] 袁增江[1] 

机构地区：[1]邯郸市中心医院普外三科,邯郸056001

出　　处：《肝胆外科杂志》2010年第5期364-366,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨多种肝血流阻断下的解剖性肝切除术治疗原发性肝癌的临床疗效。方法总结我院2006年～2009年间36例行肝切除的原发性肝癌患者,其中解剖性肝切除术组16例,非解剖性肝切除术组20例,解剖性肝切除术组采用半肝入肝血流阻断9例,半肝出入肝血流阻断4例,绕肝提拉带半肝血流阻断3例;非解剖性肝切除均采用传统Pringle入肝血流阻断法。对两组病例的手术和随访情况进行分析评价。结果解剖性肝切除组术中出血、围术期输血、并发症发生例数、肝损害及切缘微转移灶明显低于非解剖性肝切除组(P<0.05),术后1年肿瘤早期复发率低于非解剖性肝切除组(P<0.05)。结论解剖性肝切除术治疗原发性肝癌可减少并发症发生、降低肿瘤早期复发率;采取多种半肝血流阻断的方式可明显降低手术出血及肝损伤。Objective To study the therapeutic effect of anatomical liver resection for hepatocellular carcinoma with multi-method vascular occlusion.Methods 36 patients with hepatocellular carcinoma undergone liver resection were randomly divided into anatomical liver resection group（n=16） and nonanatomical liver resection group（n=20）.The volume of intraoperative blood and blood transfusion,operation time,postoperative complication,live function recovery,recurrence and survival rate were compared between two groups.Results There was significant statistical difference between two groups in regard of the volume of intraoperative blood loss,postoperative complication and circo-metastasis.The one-year recurrence rate decreased significantly in the anatomical liver resection group.Conclutions Anatomical liver resection is effective and suitable for the hepatocellular carcinoma patients.

关 键 词：原发性肝癌 解剖性肝切除术 肝血流阻断 微转移 

分 类 号：R575[医药卫生—消化系统]