CAJ | 학술논문

目的探讨解剖性肝切除为基础的精准肝切除对肝恶性肿瘤的治疗效果.方法选取高州市中医院2012年10月至2013年12月期间的肝恶性肿瘤患者25例,所有患者都以解剖性精准肝切除术治疗.对患者的手术时间、手术中出血量以及术后并发症发生情况进行分析.结果所有患者均成功完成了精准肝切除术,平均手术时间为(364.5±36.8) min,术中平均出血量(110.9±36.7) ml;共有7例患者出现术后并发症,发生率为28.0％,其中肝衰竭和腹腔渗血患者1例、肺部感染3例、腹腔脓肿2例、切口感染1例,所有并发症患者经过治疗均痊愈.结论解剖性肝切除是精准肝切除的基础和前提,患者的手术时间、术中平均出血量以及术后并发症发生等情况令人满意,具有安全、可行性.
목적 탐토해부성간절제위기출적정준간절제대간악성종류적치료효과.방법 선취고주시중의원2012년10월지2013년12월기간적간악성종류환자25례,소유환자도이해부성정준간절제술치료.대환자적수술시간、수술중출혈량이급술후병발증발생정황진행분석.결과 소유환자균성공완성료정준간절제술,평균수술시간위(364.5±36.8) min,술중평균출혈량(110.9±36.7) ml;공유7례환자출현술후병발증,발생솔위28.0％,기중간쇠갈화복강삼혈환자1례、폐부감염3례、복강농종2례、절구감염1례,소유병발증환자경과치료균전유.결론 해부성간절제시정준간절제적기출화전제,환자적수술시간、술중평균출혈량이급술후병발증발생등정황령인만의,구유안전、가행성.
Objective To investigate the efficacy of precise hepatectomy based on anatomical liver resection in the treatment of liver cancer.Methods 25 patients with liver cancer were selected and treated by precise hepatectomy based on anatomical liver resection.The operation time,intraoperative blood loss,and incidence of complications were analyzed.Results All the patients' operations were successfully completed.The mean operation time was (364.5 ± 36.8)min.The mean intraoperative bleeding volume was (110.9 ± 36.7) ml.7 patients occurred complications,with a rate of 28.0％; among which,1 got liver failure and abdominal bleeding,3 pulmonary infection,2 abdominal abscess,and 1 wound infection; all the patients' complications were cured.Conclusions Anatomical liver resection is the foundation and prerequisite of precise hepatectomy.The operation time,intraoperative bleeding volume,and incidence of complications of this surgery is satisfactory.