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目的 总结巨块型肝癌的外科治疗经验。 方法 回顾性分析我院 9年中手术治疗的 14 3例巨块型肝癌 (>10cm)病例资料。 结果 一期根治性手术切除癌肿 10 1例 (70 .6 % ) ,经腹肝动脉插管化疗 4 2例。术后近期并发症发生率为 2 3.16 % ,手术死亡率 2 .1%。手术切除的 10 1例术后 1、3、5年生存率分别为 85 .4 %、4 8.2 %和 11.7% ;插管化疗的 4 2例术后 1、3、5年生存率分别为 4 7.1%、4 .2 %和0 %。 结论 巨块型肝癌的手术切除治疗是安全可行的 ,在手术切除同时配合其他治疗有望延长患者生存期。
Objective To summarize the experience of surgical treatment of massive liver cancer. Methods A retrospective analysis of our hospital in 9 years of surgical treatment of 14 3 cases of massive liver cancer (> 10cm) case data. Results A total of 101 cases (70.6%) underwent radical resection of the tumor and 42 cases underwent transcatheter arterial chemotherapy. The incidence of postoperative complications was 23.16% and operative mortality was 2.1%. Survival rates at 1, 3, and 5 years after operation were 85.4%, 42.2% and 11.7% in 101 cases, respectively. Survival rates of 1, 3 and 5 years after intubation and chemotherapy were 42 7.1%, 4.2% and 0%. Conclusion Surgical resection of giant liver cancer is safe and feasible. Surgical resection and other treatments are expected to prolong the survival of patients.