外科治疗转移性肝癌值得关注的若干问题  

Some concerns with surgical treatment of secondary liver cancer

作　　者：姜洪池[1] 

机构地区：[1]哈尔滨医科大学附属第一医院消化病医院黑龙江省肝脾外科中心,黑龙江哈尔滨150001

出　　处：《中国实用外科杂志》2011年第11期987-988,共2页Chinese Journal of Practical Surgery

基　　金：CMB项目;加强黑龙江省农村卫生人力能力建设(项目号:08-894)

摘　　要：转移性肝癌在当今已不再被认为是毫无治疗希望的晚期癌症,其中部分病人可行肝切除术或辅助性综合治疗并能获得满意的治疗效果及5年存活率。为此,需要医生改变观念并与病人沟通为之共同努力,需要多学科合作采取最佳方案及组合。无论何种办法,如能手术切除才是最佳选择,选择手术时要权衡手术的安全性及有效性,否则会事与愿违。Metastatic liver cancer has not yet been considered as an hopeless one at the last stage of cancer now. Some of them have potential possibility to undergo hepatic resection and get ideal postoperative outcomes and even five years survival. For the sake of long term survival, muhidisciplinary treatment should be carried out. However hepatic resection is hopefully first therapy choice. As indication for liver resection and the number of the patients undergoing liver resection for metastatic liver cancer successfully and fantastically expand, objective measures to assess the risk of preoperative morbidity and mortality are needed in order to make surgical procedure dramatically in effectiveness and safety because postoperative morbidity can lead to prolonged hospital stays, increased need for resource expenditure, great medical costs, move over possibly even worse long-term survival.

关 键 词：继发性肝癌 转移性肝癌 肝切除 

分 类 号：R6[医药卫生—外科学]