CAJ | 학술논문

目的：比较分析尾状叶肝细胞癌和非尾状叶肝细胞癌的手术疗效。方法比较分析83例尾状叶肝细胞癌与83例非尾状叶肝细胞癌患者的一般病理特征、手术方式、肝炎类型、术后复发转移率及术后生存率。结果尾状叶肝癌患者的手术时间较非尾状叶肝癌患者长（198．4 min和127．9 min），术中出血量较多（726．7 ml和341．5 ml），血管阻断时间较长（29．8 min和21．3 min），术后总复发率较高（55．4％和37．3％），并发症发生率两者比较无显著差异（18．1％和15．7％），1～5年生存率尾状叶肝癌患者均低于非尾状叶肝细胞癌患者。结论尾状叶肝细胞癌手术切除的疗效不理想。
목적：비교분석미상협간세포암화비미상협간세포암적수술료효。방법비교분석83례미상협간세포암여83례비미상협간세포암환자적일반병리특정、수술방식、간염류형、술후복발전이솔급술후생존솔。결과미상협간암환자적수술시간교비미상협간암환자장（198．4 min화127．9 min），술중출혈량교다（726．7 ml화341．5 ml），혈관조단시간교장（29．8 min화21．3 min），술후총복발솔교고（55．4％화37．3％），병발증발생솔량자비교무현저차이（18．1％화15．7％），1～5년생존솔미상협간암환자균저우비미상협간세포암환자。결론미상협간세포암수술절제적료효불이상。
Objective To explore the surgical outcomes of patients with caudate lobe hepatocellular carcinoma and non -caudate lobe hepatocellular carcinoma .Methods 83 patients underwent hepatic resection for hepatocellular carcinoma in the caudate lobe and 83 patients with non-caudate lobe hepatocellular carcinoma were selected .Tumor characteristics , demographic details ,operative situations ,recurrence and survival outcomes after resection of the 2 groups were analyzed .Results Patients with hepatocellular carcinoma in the caudate lobe had significantly longer operation time (198.4 min vs.127.9 min),more intraopera-tive blood loss (726.7 ml vs.341.5 ml),longer vascular clamping time (29.8 min vs.21.3 min) and higher recurrence (55.4% vs.37.3%) than those of non-caudate lobe hepatocellular carcinoma .There was no significant difference in the compli-cation rate (18.1%vs.15.7%) 1-to 5-year survivial rates of patients with caudate lobe hepatocellular carcinoma were lower than those of non-caudate lobe hepatocellular carcinoma .Conclusion Therapeutic efficacy of resection of the caudate lobe hepatocel-lular carcinoma is not ideal .