CAJ | 학술논문

目的：探讨中央型肝癌手术切除的安全性及临床疗效。方法对39例中央型肝癌，采用非规则性局部切除方法切除肿瘤，观察AFP转阴情况及术后1、3年生存率。结果39例中央型肝癌手术均顺利切除，其中23例术后AFP转阴，术后1年生存率79.1%，3年生存率60.2%。结论中央型肝癌切除难度大，但只要术前正确评估切除的可能性和肝脏储备功能，以及围术期处理及术中方法得当，仍然安全可行。
목적：탐토중앙형간암수술절제적안전성급림상료효。방법대39례중앙형간암，채용비규칙성국부절제방법절제종류，관찰AFP전음정황급술후1、3년생존솔。결과39례중앙형간암수술균순리절제，기중23례술후AFP전음，술후1년생존솔79.1%，3년생존솔60.2%。결론중앙형간암절제난도대，단지요술전정학평고절제적가능성화간장저비공능，이급위술기처리급술중방법득당，잉연안전가행。
Objecllve To explore the safety and clinical effect of resection for centrally located hepatocellalar carcinoma. MethodsFrom January 2009 to April 2013 The clinical data of 39 patients with centrally located hepatocellular carcinoma performed irregular tumor resection were retrospectively reviewed and analyzed.ResultsAll these centrally located hepatocellular carcinoma of 39 cases were be successfully resected. The AFP value in 23 cases turned to be negative after the operation.The overall 1 and 3 year survival rates of patients after operation were 79.1% and 60.2% respectively.ConclusionAlthough it is difficult to resect centrally located hepatocellular carcinoma,it can correctly be performed after the evaluation of the capacity of hepatic compensation before operation and make a suitable treatment in perioperation period,it is safe and feasible.