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以往认为原发性肝细胞癌切除术后复发或探查发现巨大癌灶不能切除,均属晚期,不考虑再行肝切除,由于肝癌生物学概念的发展,诊断手段的进步,治疗措施的有效,在临床实践中,发现部分病人术后复发癌灶,获得了再次切除的机会,报告如下。临床资料1 本组8例原发性肝细胞癌术后复发再次行肝切除。男性7例,女性1例;年龄最小20岁,最大65岁。2 术式及再次切除时间:原发性肝癌切除后再次手术时间,最短2个月,最长达18个月,其中1例先后反复进行3次切除,由于原发性肝癌多合并肝硬变,再次切除以部分切除为主,其中2例进行了半肝切除。3 治疗效果:生存期最长达42个月,目前尚有1例存活者已达40个月,仍在随访中,详见附表。
In the past, it was considered that recurrence or exploration after resection of primary hepatocellular carcinoma revealed that the large lesions could not be resected. All of them were of advanced stage and hepatectomy was not considered. Because of the development of biological concepts of hepatocellular carcinoma, advances in diagnostic methods, and effective treatment measures, In clinical practice, it was found that some patients had postoperative recurrences of cancer and obtained the opportunity for re-excision. The report is as follows. Clinical data 1 8 cases of primary hepatocellular carcinoma in this group recurrence of liver resection. 7 males and 1 female; youngest 20 years old, maximum 65 years old. 2 surgical methods and re-excision time: reoperation of primary hepatic carcinoma after reoperation, the shortest 2 months, up to 18 months, of which 1 case has been repeated 3 times resection, due to multiple liver cancer with primary liver cancer The resection was mainly partial resection, and hemisection was performed in 2 cases. 3 Therapeutic effect: The survival period is up to 42 months. At present, there are still 1 survivors who have reached 40 months and are still in follow-up. Please refer to the attached table for details.