中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
8期
18-20
,共3页
牛秀峰%倪家连%郑宝珍%刘晓明%刘鲁岳
牛秀峰%倪傢連%鄭寶珍%劉曉明%劉魯嶽
우수봉%예가련%정보진%류효명%류로악
肝肿瘤%肝切除术%可行性研究
肝腫瘤%肝切除術%可行性研究
간종류%간절제술%가행성연구
Liver neoplasms%Hepatectomy%Feasibility studies
目的 探讨极限量肝切除治疗巨大肝癌的可行性.方法 回顾性分析2006年12月至2011年6月采用极限量肝切除治疗28例巨大肝癌患者的临床资料.术前肝功能Child-Pugh分级A级22例,B级6例,吲哚氰绿15min潴留率(ICGR15)≤10％者19例,10％＜ ICGR15≤15％者5例,15％＜ ICGR15≤20％者4例.结果 手术死亡2例,病死率为7.1％(2/28),均为术前肝功能Child-Pugh分级B级,15％＜ ICGR15≤20％,估计解剖性肝切除量在60％～70％者.术后发生各类并发症共15例次,经治疗后均顺利恢复.结论 肝功能储备良好的巨大肝癌患者,行极限量肝切除术是可行的.
目的 探討極限量肝切除治療巨大肝癌的可行性.方法 迴顧性分析2006年12月至2011年6月採用極限量肝切除治療28例巨大肝癌患者的臨床資料.術前肝功能Child-Pugh分級A級22例,B級6例,吲哚氰綠15min潴留率(ICGR15)≤10％者19例,10％＜ ICGR15≤15％者5例,15％＜ ICGR15≤20％者4例.結果 手術死亡2例,病死率為7.1％(2/28),均為術前肝功能Child-Pugh分級B級,15％＜ ICGR15≤20％,估計解剖性肝切除量在60％～70％者.術後髮生各類併髮癥共15例次,經治療後均順利恢複.結論 肝功能儲備良好的巨大肝癌患者,行極限量肝切除術是可行的.
목적 탐토겁한량간절제치료거대간암적가행성.방법 회고성분석2006년12월지2011년6월채용겁한량간절제치료28례거대간암환자적림상자료.술전간공능Child-Pugh분급A급22례,B급6례,신타청록15min저류솔(ICGR15)≤10％자19례,10％＜ ICGR15≤15％자5례,15％＜ ICGR15≤20％자4례.결과 수술사망2례,병사솔위7.1％(2/28),균위술전간공능Child-Pugh분급B급,15％＜ ICGR15≤20％,고계해부성간절제량재60％～70％자.술후발생각류병발증공15례차,경치료후균순리회복.결론 간공능저비량호적거대간암환자,행겁한량간절제술시가행적.
Objective To investigate the feasibility of extended hepatectomy for huge hepatic carcinoma.Methods A retrospective analysis was made on the clinical data of 28 patients with huge hepatic carcinoma who underwent extended hepatectomy from December 2006 to June 2011.Twenty-two cases were Child-Pugh grade A,6 cases were Child-Pugh grade B,19 cases were indocyanine green retention at 15 minutes (ICGR15)≤10％,5 cases were 10％ ＜ ICGR15 ≤15％,4 cases were 15％ ＜ ICGR15 ≤20％.Results The operative death rate was 7.1％ (2/28) with Child-Pugh grade B,15％ ＜ ICGR15 ≤20％ and liver resection volume 60％-70％.Postoperative complications were found on 15 cases,but all recovered after treatment.Conclusion Extended hepatectomy for huge hepatic carcinoma can be feasible in the patients with enough reserve of the liver function provided.
