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由于原发性肝癌的生物学特性，大多数肿瘤无完整的包膜，呈外侵型生长，肿瘤边界不清，同时肝癌合并肝硬化率高而限制了手术的切除范围，所以手术切除时易见残端癌，术后复发率高。对１９９０年１月至１９９３年１２月，我院收治的８１例原发性肝癌作肝切除术时残端见癌，术中使用无水酒精处理残端癌的方法和疗效做一介绍。８１例病人中，４５例术中肉眼或术中超声波检查未见转移灶者，其术后１、２、３年生存率分别为９３.８％、８１.２％、５６.１％；在３６例术中见肝内转移结节者，其术后１、２、３年生存率分别为５４.１％、２９.６％、１１.９％。术中使用无水酒精的方法简单可靠，能延长病人生存期，特别对无肝内转移者，效果良好，优于其它治疗方法，无明显并发症。
Due to the biological characteristics of primary liver cancer, most tumors do not have a complete envelope and show aggressive growth. The tumor borders are unclear. At the same time, the high rate of liver cirrhosis combined with liver cirrhosis limits the scope of surgical resection. Therefore, surgical resection is easy. See stump cancer, postoperative recurrence rate is high. From January 1990 to December 1993, 81 cases of primary liver cancer admitted to our hospital were treated with hepatectomy for residual stump cancer. The use of anhydrous alcohol to treat residual stump cancer was described. Of the 81 patients, 45 had no intraoperative or macroscopic ultrasonographic examination. Their 1-, 2-, and 3-year survival rates were 93.8%, 81.2%, and 56.1%, respectively; In 36 patients with intrahepatic metastatic nodules, the 1-, 2-, and 3-year survival rates were 54.1%, 29.6%, and 11.9%, respectively. The method of using anhydrous alcohol during the operation is simple and reliable, and can prolong the patient’s survival period, especially for those who have no intrahepatic metastasis. The effect is good, superior to other treatments, and has no obvious complications.