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目的 介绍常温下阻断肝门切肝治疗肝癌的手术技巧。方法 回顾性分析用常温下切肝法治疗86例肝癌患者的经验体会。结果 本组86例患者,术中均未出现诸如死亡、大出血等严重并发症。术后7例发生肝功能衰竭,其中5例治愈,2例死亡;5例切口感染;胸腔积液19例,14例经保守治疗自行吸收愈合,5例通过胸腔穿刺治愈。结论 常温下肝门阻断肝切除术是治疗肝癌较为理想的手术方式。
Objective To introduce the surgical technique of blocking hepatic portal vein liver cancer (HCC) at room temperature. Methods The clinical experience of treating 86 cases of HCC patients undergoing liver resection at room temperature was retrospectively analyzed. Results In this group of 86 patients, no serious complications such as death and bleeding occurred during operation. Hepatic failure occurred in 7 cases, of which 5 cases were cured and 2 died. Five cases were incisional infection. In 19 cases of pleural effusion, 14 cases were cured by conservative treatment and 5 cases were cured by thoracentesis. Conclusions Hepatectomy and hepatectomy at room temperature is an ideal surgical method for the treatment of liver cancer.