CAJ | 학술논문

目的探讨解剖学方法行肝切除在老年肝细胞癌患者的疗效.方法回顾性分析了125例行手术切除的老年肝细胞肝癌患者的临床资料,其中72例为解剖学方法行肝切除的患者,53例为传统方法行肝切除的患者. 结果解剖学方法组无手术死亡,无术后腹腔出血,术后并发症7例(9.7﹪),术后住院时间(12.6±4.5) d; 1、3、5年生存率分别为87.4%、70.1%、60.7%;传统方法组围手术期死亡2例(3.7%),术后腹腔出血2例,术后并发症15例(28.3%),术后住院时间(17.2±9.7) d,1、3、5年生存率分别为79.5%、53.9%、40.8%.解剖学方法组较传统方法组术中出血及输血少,手术并发症发生率低,住院时间缩短(P<0.05).结论老年肝癌患者采取解剖学方法行肝切除术,术中出血少,术后并发症少,临床疗效满意.
목적 탐토해부학방법 행간절제재노년간세포암환자적료효.방법 회고성분석료125례행수술절제적노년간세포간암환자적림상자료,기중72례위해부학방법 행간절제적환자,53례위전통방법 행간절제적환자. 결과 해부학방법 조무수술사망,무술후복강출혈,술후병발증7례(9.7﹪),술후주원시간(12.6±4.5) d; 1、3、5년생존솔분별위87.4%、70.1%、60.7%;전통방법 조위수술기사망2례(3.7%),술후복강출혈2례,술후병발증15례(28.3%),술후주원시간(17.2±9.7) d,1、3、5년생존솔분별위79.5%、53.9%、40.8%.해부학방법 조교전통방법 조술중출혈급수혈소,수술병발증발생솔저,주원시간축단(P<0.05).결론 노년간암환자채취해부학방법 행간절제술,술중출혈소,술후병발증소,림상료효만의.
Objective To evaluate the efficacy of anatomic hepatectomy for hepatocellular carcinoma (HCC) in elderly patients. Methods 125 elderly patients who had received hepatic resection for HCC were analyzed retrospectively. Anatomic hepatectomy was performed in 72 patients (group A), traditional hepatectomy in 53 patients (group B). Results In group A, there were no perioperative mortality and postoperative bleeding. Seven patients (9.7%) had complications. Postoperative hospitalization was (12.6±4.5) days. The 1-, 3- and 5-year survival rates were 87.4%, 70.1% and 60.7%, respectively. In group B, 2 patients (3.7%) died in the perioperative period, 2 had postoperative bleeding, and 15 (28.3%) had complications. Postoperative hospitalization was(17.2±9.7) days .The 1-, 3- and 5-year survival rates were 79.5%, 53.9% and 40.8%, respectively. Conclusions The efficacy of anatomic hepatectomy for HCC in elderly patients is satisfactory.