CAJ | 학술논문

目的探讨晚期巨块多灶型"无法治疗"的肝脏恶性肿瘤治疗的新途径. 方法采用手术切除或减体手术切除巨块多灶型肝脏肿瘤,术中配合氩超冷刀多探针低温手术系统对残余瘤体和肝脏其他病灶进行治疗. 结果实施减体手术联合氩超冷刀1例, 巨块肿瘤切除联合氩超冷刀1例,单纯氩超冷刀治疗3例,其中1例氩超冷刀治疗后第8 d,肿瘤较术前缩小50%. 术后随访均生存,最长已生存6 mo. 结论手术联合术中氩超冷刀治疗巨块多灶型肝脏恶性肿瘤措施是成功的,对所谓"无法治疗"的肝脏恶性肿瘤提供新的可行性治疗途径.
목적탐토만기거괴다조형"무법치료"적간장악성종류치료적신도경. 방법채용수술절제혹감체수술절제거괴다조형간장종류,술중배합아초냉도다탐침저온수술계통대잔여류체화간장기타병조진행치료. 결과실시감체수술연합아초냉도1례, 거괴종류절제연합아초냉도1례,단순아초냉도치료3례,기중1례아초냉도치료후제8 d,종류교술전축소50%. 술후수방균생존,최장이생존6 mo. 결론수술연합술중아초냉도치료거괴다조형간장악성종류조시시성공적,대소위"무법치료"적간장악성종류제공신적가행성치료도경.
AIM To study the new method for treatment on "untrea table" late massive multifocal malignant liver tumor. METHODS Massive liver tumor was removed by operation or volume-reduced operation. Argon super-cryo surgical system (ASSs) was adopted to treat the remaining tumor and other foci in the liver. RESULTS One patien t was treated by volume-reduced operation together with ASSs. Massive tumor removing with ASSs w as performed on one patient. Three patients were treated only by ASSs and one of th em was found that his tumor was reduced by 50% 8 d after ASSs. Post operative follow-up revealed they all survived and the longest period had reached 6 mo. CONCLUSION It is successful to treat the massive multifocal malignant liver tumor by operation together with ASSs and a new promising path for treatment of so-called "untreatable" malignant liver tumor is blazed.