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收集我科1990~1995年来应用常温下第一肝门阻断行肝切除治疗原发性肝癌,其中行右肝段切除术者共40例,与同期右肝癌未加肝门阻断行右肝段切除术30例比较,术后随访半年至5年。结果显示肝门阻断组手术时间缩短,术中出血量和围手术期出血量减少;术后并发症发生率除胸腔积液增高外,其余无明显差异;随访显示1、2、3年术后复发率明显下降;1、2、3年术后生存率明显增高。认为对于无肝硬变和合并轻、中度肝硬变、非中央型肝癌患者的肝切除术,常温下第一肝门阻断有应用价值。
The primary liver cancer was treated with the first hepatic portal block liver resection in our department from 1990 to 1995. Among them, 40 patients were undergoing right hepatectomy. During the same period, the right hepatic artery was not blocked and the right hepatic artery was blocked. Segmental resection was performed in 30 cases and followed up for 6 months to 5 years. The results showed that the operation time of the hepatic portal occlusion group was shortened, intraoperative blood loss and perioperative hemorrhage were reduced; the incidence of postoperative complications was not significantly different from that of pleural effusion; follow-up showed 1, 2 or 3 years After the recurrence rate decreased significantly; 1,2,3-year postoperative survival rate increased significantly. It is considered that for liver resection without liver cirrhosis and with mild or moderate cirrhosis and non-central liver cancer, the first hepatic hilum blockage at room temperature has application value.