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目的 探讨原发性肝癌 (简称肝癌 )患者行极量肝切除的指征和安全性。 方法 2 0 0 0年11月至 2 0 0 2年 10月行极量肝切除治疗原发性肝癌共 3 3例 ,合并肝硬化者 2 6例 ,分析评估肝癌极量肝切除的术前各项指标、术中处理和术后恢复情况。 结果 全组无手术死亡 ,术后并发症发生率为 3 3 .3 % ,经及时治疗后均顺利恢复。 结论 肝脏储备功能良好的肝癌患者 ,在保证切肝量不超过肝组织量的 5 0 %的基础上 ,尽可能多地保留肝组织 ,术后加强残肝功能保护 ,及时处理并发症 ,肝癌行极量肝切除仍然是安全的
Objective To investigate the indications and safety of extreme hepatectomy in patients with primary liver cancer (referred to as liver cancer). Methods From November 2000 to October 2002, a total of 33 cases of primary liver cancer and 26 cases of liver cirrhosis were treated by extreme liver resection. Indicators, intraoperative management and postoperative recovery. Results There was no operative death in all the patients. The incidence of postoperative complications was 33.3%. All patients recovered well after prompt treatment. Conclusions Liver cancer patients with well-preserved liver function should retain liver tissue as much as possible after ensuring that the amount of hepatectomy does not exceed 50% of the liver tissue, strengthen the protection of residual liver function after operation, timely treatment of complications, Excess liver resection is still safe