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目的 探讨原位肝脏移植在原发性肝癌治疗中的意义。方法 回顾分析 2 0 0 0年 1月至 2 0 0 1年 12月 9例原发性肝癌行原位肝移植的临床资料。结果 术后生存大于 6个月有 6例(66.6% ) ,生存大于 12个月有 4例 (4 4 .4% ) ,平均存活时间 11.5个月。与肝癌相关的死亡率为66%。术后复发依次为肝癌复发 3例、骨转移 2例、盆腔转移 1例。结论 严格选择肝癌病人行肝移植 ;对肝硬化肝癌 ,肝移植是有效的治疗
Objective To investigate the significance of orthotopic liver transplantation in the treatment of primary liver cancer. Methods The clinical data of 9 patients with primary liver cancer undergoing orthotopic liver transplantation from January 2000 to December 2001 were retrospectively analyzed. Results Postoperative survival was more than 6 months in 6 cases (66.6%), survival of more than 12 months in 4 cases (44.4%), the average survival time of 11.5 months. The mortality associated with liver cancer is 66%. Postoperative recurrence followed by liver cancer recurrence in 3 cases, bone metastases in 2 cases, pelvic metastasis in 1 case. Conclusions Strict selection of patients with liver cancer underwent liver transplantation; liver cirrhosis, liver transplantation is an effective treatment