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六十年代,典型广泛肝切除成为肝外科的常规标准手术,并取得了较大进展。七十年代起,肝癌的局部切除、多处切除和再切除等方法有所增加。进入八十年代后,随着小肝癌的相继被发现,局部或多处切除巳较广泛地用于临床。 1982年我国原发性肝癌切除率自以前的20％提高到40%左右,手术死亡率自从20-30%降低到10%以下,切除后5年生存率提高到20%左右。高发地区小肝癌的疗效更好,切除率高达80%,术后5年生存
In the 1960s, typical extensive liver resection became routine standard surgery for liver surgery and significant progress was made. Since the 1970s, local resection, multiple resection and re-excision of liver cancer have increased. Since the 1980s, with the discovery of small hepatocellular carcinomas, partial or multiple resections have been widely used clinically. In 1982, the resection rate of primary liver cancer in China has increased from the previous 20% to about 40%. The operative mortality has decreased from 20-30% to less than 10%, and the 5-year survival rate has increased to about 20% after resection. The efficacy of small HCC in high-incidence areas is better, the resection rate is as high as 80%, and 5-year survival after surgery