CAJ | 학술논문

目的探讨Glisson氏鞘外横断式肝段切除术治疗原发性肝癌的临床效果.方法将2006年4月～2008年5月收治的25例肝癌患者(A组)行Glisson氏鞘外横断式肝段切除术,术后观察手术切缘的阳性率、手术标本的微转移灶、复发率.挑选2006-1～2008-10收治的30例(B组)接受常规肝癌局部切除术的肝癌患者作为对照组.结果 A组切缘的阳性率(4.0%)明显低于B组切缘的阳性率(10.0%).A组瘤外肝组织微转移灶的数量(16)明显高于B组微转移灶的数量(8).A组微转移灶扩散的中位距离为6.8 mm (2.7～25.6 mm),B组微转移灶扩散的中位距离为4.2 mm(2.4～ 9.0mm).A组1年的复发率(16.0%)明显低于B组1年的复发率(26.7%).结论Glisson氏鞘外横断式肝段切除术操作简单,可减少肿瘤微转移灶的残留,降低复发率.
목적 탐토Glisson씨초외횡단식간단절제술치료원발성간암적림상효과.방법 장2006년4월～2008년5월수치적25례간암환자(A조)행Glisson씨초외횡단식간단절제술,술후관찰수술절연적양성솔、수술표본적미전이조、복발솔.도선2006-1～2008-10수치적30례(B조)접수상규간암국부절제술적간암환자작위대조조.결과 A조절연적양성솔(4.0%)명현저우B조절연적양성솔(10.0%).A조류외간조직미전이조적수량(16)명현고우B조미전이조적수량(8).A조미전이조확산적중위거리위6.8 mm (2.7～25.6 mm),B조미전이조확산적중위거리위4.2 mm(2.4～ 9.0mm).A조1년적복발솔(16.0%)명현저우B조1년적복발솔(26.7%).결론Glisson씨초외횡단식간단절제술조작간단,가감소종류미전이조적잔류,강저복발솔.
Objective To study the clinical effect of segmental resection of the liver using Glissonean pedicle transection for primary livu cancer. Methods The clinical data of 55 primary liver cancer patients admitted from January 2006 to October 2008 were analyzed retrospectively. Twenty-five of the patients underwent segmental resection of the liver by Glissonean pedicle transection (group A), and 30 underwent routine hepatectomy (group B). The positivity rate of the resection margin,nucrometastasis in the hepatic parenchyma surrounding the lesions and postoperative recurrence rates were investigated.Results The positivity rate of the resection margin was 4.0% in group A, significantly lower than that of group B. The number of histological micrometastasis was significantly higher in group A than in group B (16 vs 8). The median distance of lustological micrometastasis was 6.8 mm (2.7-25.6 mm) in group A and 4.2 mm (2.4-9.0 mm) in group B. The one-year recurrence rate was significantly lower in group A than in group B (16% vs 26.7%), Conclusion Glissonean pedicle transection for segmental liver resection is a simpler procedure than routine hepatectomy for primary liver cancer and can reduce the number of histological micrometastasis and recurrence rate.