中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2009年
4期
259-261
,共3页
李加起%李森%庄冠一%李春友%杜福田%丁伟%董承伟%郭玉林%宋钦华
李加起%李森%莊冠一%李春友%杜福田%丁偉%董承偉%郭玉林%宋欽華
리가기%리삼%장관일%리춘우%두복전%정위%동승위%곽옥림%송흠화
癌,肝细胞%肝切除%肝后下腔静脉前间隙
癌,肝細胞%肝切除%肝後下腔靜脈前間隙
암,간세포%간절제%간후하강정맥전간극
Carcinoma hepatocellular%Hepatectomy%Retrohepatic tunnel
目的 探讨巨大肝癌的可切除性及切除方法的改进.方法 回顾性分析2003年5月至2006年12月潍坊市人民医院肝胆外科手术切除的38例巨大肝癌资料.38例巨大肝癌平均直径14.4 cm(10.5～27 cm).术中先行结扎患侧肝动脉及门静脉.解剖打通肝后下腔静脉前间隙,在绕肝带捆扎指示下前入路法逆行切除瘤体.结果 38例手术均取得成功,平均出血量850 ml(300～2700 ml).围手术期无死亡.1、2、3年生存率分别为78.9%、57.9%、39.5%.结论 巨大肝癌非手术禁忌,经肝后下腔静脉前间隙入路行巨大肝癌切除安全可靠.
目的 探討巨大肝癌的可切除性及切除方法的改進.方法 迴顧性分析2003年5月至2006年12月濰坊市人民醫院肝膽外科手術切除的38例巨大肝癌資料.38例巨大肝癌平均直徑14.4 cm(10.5～27 cm).術中先行結扎患側肝動脈及門靜脈.解剖打通肝後下腔靜脈前間隙,在繞肝帶捆扎指示下前入路法逆行切除瘤體.結果 38例手術均取得成功,平均齣血量850 ml(300～2700 ml).圍手術期無死亡.1、2、3年生存率分彆為78.9%、57.9%、39.5%.結論 巨大肝癌非手術禁忌,經肝後下腔靜脈前間隙入路行巨大肝癌切除安全可靠.
목적 탐토거대간암적가절제성급절제방법적개진.방법 회고성분석2003년5월지2006년12월유방시인민의원간담외과수술절제적38례거대간암자료.38례거대간암평균직경14.4 cm(10.5～27 cm).술중선행결찰환측간동맥급문정맥.해부타통간후하강정맥전간극,재요간대곤찰지시하전입로법역행절제류체.결과 38례수술균취득성공,평균출혈량850 ml(300～2700 ml).위수술기무사망.1、2、3년생존솔분별위78.9%、57.9%、39.5%.결론 거대간암비수술금기,경간후하강정맥전간극입로행거대간암절제안전가고.
Objective To investigate the possibility and the changing of the method of surgical excision for large hepatocellutar carcinoma(HCC).Methods The clinical data of 38 cases with large HCC treated in our hospital from May 2003 to December 2006 were retrospectively analyzed.The av-erage diameter of the 38 cases was 14.4 cm(10.5-27 cm).The hepatic artery and portal vein of the trouble side were ligated firstly in the operation and then the retrohepatic tunnel established.We took the method of the former approach to resect tumors retrogradely.Results The operation was success-fully conducted in all the 38 cases and the average amount of bleeding was 850ml(300-2700 ml).No death occurred during hospitalization.The 1-,2-and 3-year survivaI rates were 78.9%,57.9%and 39.5%.respectively.Conclusion It is safe to resect the large HCC through the retrohepatic tunnel.
