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目的总结肝尾区肿瘤的现代外科治疗经验。方法对1989-2003年收治的9例肝尾区肿瘤病人的治疗情况进行回顾性分析。结果除1例晚期肝癌行肝移植术外,其余7例均接受肝尾区肿瘤切除术,全部病例手术及术后恢复顺利。6例肝癌病人中,2例分别于术后10个月、17个月死亡,1例术后24个月失访,另3例术后3、15、99个月仍健在。3例良性肝占位病人术前均曾误诊为肝癌,及时手术方才明确诊断。结论剖腹探查是明确肝尾区肿瘤诊断和避免误诊的最佳方法,肝移植、肝尾区切除等现代外科治疗手段给肝尾区肿瘤病人带来了新的希望,积极治疗、慎重对待、合理术中处理及术后综合治疗是肝尾区肿瘤治疗的基本原则及取得成功的主要经验。
Objective To summarize the experience of modern surgical treatment of hepatic tumor. Methods A retrospective analysis was performed on the treatment of 9 cases of hepatocellular carcinoma patients treated in 1989-2003. Results In addition to one case of advanced liver cancer underwent liver transplantation, the remaining seven cases underwent resection of the liver tail tumor. All cases were successfully surgically and postoperatively. Of the 6 patients with liver cancer, 2 died at 10 months and 17 months after operation, 1 patient was lost at 24 months after operation, and 3 patients were still alive at 3, 15 and 99 months after operation. Three cases of benign liver space occupying patients were misdiagnosed as liver cancer before surgery, and timely surgery had a clear diagnosis. Conclusions Laparotomy is the best way to confirm the diagnosis and avoid misdiagnosis of the tumor in the liver region. The modern surgical methods such as liver transplantation and resection of the liver region bring new hope to the patients with the tumor in the tail region. Active treatment, careful treatment, reasonable treatment Intraoperative management and postoperative comprehensive treatment of the basic principles of the treatment of liver tumor and the main success of the main experience.