肝癌复发转移再切除治疗的疗效分析(附30例报告)  

Analysis of Effects in Re-resection for Recurrent Hepatocellular Carcinoma(a Report of 30 Cases).

作　　者：武金才[1] 张建军 陆才德[1] 戴德坚[1] 

机构地区：[1]浙江大学医学院附属二院普外科,310009 [2]江西省贵溪市人民医院,335400

出　　处：《外科理论与实践》2002年第4期289-290,共2页Journal of Surgery Concepts & Practice

摘　　要：目的 :评价再手术在肝癌复发治疗中的地位。方法 :回顾分析 1 988年～ 1 999年 30例肝癌复发再手术切除的随访资料。结果 :首次手术后 1、2、3和 5年总生存率分别为 93 .3 %、73 .3 %、56 .7%和 36.7%。第一次再手术后 1、3和 5年生存率分别为 63 .3 %、2 3 .3 %和 1 3 .3 %。肺叶切除后 1、3和 5年生存率分别为 71 .4%、42 .9%和 2 8.6 %。结论 :肝癌复发病人再手术后的预后与复发时肿瘤大小、数目、类型相关 。To evaluate re resection in the treatment of recurrent hepatocellular carcinoma. Methods: Thirty patients with recurrent hepatocarcinoma re resected were followed up and thire post operative survival data were analyzed. Results:The sur vival rate of 1, 2, 3 and 5 year in the 30 cases were 93.3%, 73.3%, 56.7% and 36.7% respectively, with the median survival term of 18.5 months, and average of 26.0 months. The preliminary results were encouraging. Conclusions: The size and pathological type of recurrent hepatocarcinoma are factors influencing the prognosis of patients. Re resection of recurrent HCC could markedly prolong the patients' survival term.

关 键 词：肝癌 复发 再手术 治疗 

分 类 号：R735.7[医药卫生—肿瘤]