肝癌肝切除术后常见并发症与处理  

Prevention and management of operative complications after hepatectomy for liver cancer

作　　者：刘连新[1] 尹大龙[1] 

机构地区：[1]哈尔滨医科大学附属第一医院肝脏外科,150001

出　　处：《中华普外科手术学杂志（电子版）》2014年第1期23-25,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金(81272705);教育部创新团队发展计划(IRT1122)

摘　　要：肝切除是肝癌的主要治疗方法,但术后并发症仍然是影响肝切除成功与否的重要因素。肝切除术后并发症包括术后出血,胆漏,肺部并发症和肝功能不全等仍然很常见,也影响到患者的康复和预后,尤其是老年肝切除患者。精准肝脏外科包括术前精确的评估,术中精细的操作和术后精心的管理是减少并发症发生、保证手术成功的重要理念和规范。预防性减少并发症的发生,及时有效的针对性处理是解决围手术期并发生症的关键。Hepatectomy is still the main therapeutic management for patients with liver cancer However, successful operation might depend on the prevention and management of postoperative complications, such as postoperative bleeding, bile leakage, pulmonary complications and liver failure, which would influence the recovery and prognosis of patients, especially older patients. Reduction of perioperative mortality rate and mobidity rely on precise preoperative evaluation, refined surgical skills and comprehensive managements after hepatectomy. Based on the principles of precise resection of liver lobe, prevention and management of complications should be emphasized.

关 键 词：肝肿瘤 肝切除术 手术后并发症 

分 类 号：R735.7[医药卫生—肿瘤]