肝癌二期手术切除21例报告  

SECONDARY RESECTION FOR HEPATOCELLULAR CARCINOMA:21 CASES REPORT.

作　　者：李冰[1] 赵荣宇[1] 

机构地区：[1]大连医科大学附属一院普外科,大连116011

出　　处：《肝胆外科杂志》2003年第3期208-209,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨中晚期肝癌二期手术利弊、时机及应注意问题。方法　回顾总结分析 1 992年 6月～ 2 0 0 1年 1 2月 ,2 1例中晚期肝癌二期手术切除的临床资料。结果　肿瘤平均直径为 6 .4 cm,瘤位于右半肝 1 8例 ,位于左半肝 3例 ,AFP平均值 2 4 8μg/ L。 1 7例经股动脉介入给药 ,4例经肝动脉泵给药 ,平均用药时间为 2 .4个月。结论　中晚期肝癌 TACE治疗后 ,二期手术切除是必要的 ,二期手术以 TACE后 2个月左右为宜。手术采用不规则肝局部切除 。Objective To investigate the advantages and disadvantages,time,as well as problems of secondary resection for advanced hepatocellular carcinoma.Methods To respectively analyse the clinical data of 21 advanced hepatocellular carcinoma with secondary resection from June 1992 to December 2001.Results Average diameter of tumor was 6.4 cm.18 cases with tumor located at right lobe of liver and 6 cases at left lobe respectively.Average α fetoprotein value was 248 μg/L.17 patients underwent pre operative chemotherapy by femoral artery and the others by hepatic arterial pump.Average medication time was 2.4 months.Conclusion Secondary resection is necessary for advanced hepatocellulur carcinoma after TACE,and the best time for resection was at two months following TACE.Irregular local hepatectomy is enough and the hepatic inflow blocking time should be decreased as far as possible.

关 键 词：肝癌 二期切除 

分 类 号：R735.7[医药卫生—肿瘤]