CAJ | 학술논문

目的探讨经腹腔镜射频消融术治疗肝细胞癌的临床疗效及相关并发症.方法采用腹腔镜射频消融术对68例肝癌病灶进行治疗,观察术后恢复情况、病灶坏死率,复发率及1年生存率等.结果 68例患者均顺利完成手术,腹腔镜探查新发现20个术前影像学漏诊病灶.累计治疗病灶114个.术后未出现严重并发症,平均住院时间(2.5±1.2)d,3个月病灶坏死率为85.9％(98/114),6个月病灶复发率为12.2％(14/114),1年生存率为76.47％.结论经腹腔镜射频消融治疗肝细胞癌具有安全性高、并发症少、住院时间短及临床疗效显著等优势,值得临床推广.
목적 탐토경복강경사빈소융술치료간세포암적림상료효급상관병발증.방법 채용복강경사빈소융술대68례간암병조진행치료,관찰술후회복정황、병조배사솔,복발솔급1년생존솔등.결과 68례환자균순리완성수술,복강경탐사신발현20개술전영상학루진병조.루계치료병조114개.술후미출현엄중병발증,평균주원시간(2.5±1.2)d,3개월병조배사솔위85.9％(98/114),6개월병조복발솔위12.2％(14/114),1년생존솔위76.47％.결론 경복강경사빈소융치료간세포암구유안전성고、병발증소、주원시간단급림상료효현저등우세,치득림상추엄.
Objective To evaluate the feasibility,safety and efficacy of laparoscopic radiofrequency ablation (RFA) therapy for hepatocellular carcinoma (HCC).Methods Sixty-eight cases of liver cancer lesions were underwent laparoscopic radiofrequency ablation,and their postoperative recovery state,focal necrosis rate were observed.Results All the 68 cases were successfully performed operation,114 lesions were treated including 20 missed lesions at preoperative imaging diagnosis.There were no serious postoperative complications,the average hospital stay was (2.5 ± 1.2) days,focal necrosis rate 3 months after operation was 85.9％,lesion recurrence rate 6 months after operation was 12.2％,the 1-year survival rate was 76.47％.Conclusions Laparoscopic radiofrequency ablation in treatment of hepatocellular carcinoma has high security,few complications,short hospital stay and remarkable clinical effects.It's well worth clinical outreach.