巨大原发性肝癌的手术切除
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Hepatic resection for huge primary liver carcinoma
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    目的:探讨巨大原发性肝癌切除的安全性和可行性。方法:对216巨大肝癌(平均直径14.2cm),采用间歇性入肝血流阻断的方法进行肝肿瘤切除。结果:216例肿瘤均得以顺利切除,肝门阻断时间平均19min,出血量平均743ml。术后无严重并发症发生, 7例(3.2%)术后死于肝衰竭和上消化道出血。结论:巨大肝癌切除难度大,但只要方法得当,围手术期处理适宜,仍是安全可行的。

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    To evaluate the safety and feasibility of hepatic resection for huge primary liver carcinoma(PLC). Methods:216 cases of huge PLCs(mean diameter of 14.2cm) were resected. The hepatectomies were performed under intermittent occlusion of hepatic inflow. Results:All 216 cases were successfully resected. The mean time of occlusion of hepatic inflow was 19min, the mean blood loss was 743 ml. No serious complications occurred, and only seven patients died of hepatic failure and upper gastrointestinal haemorrhage postoperatively in this series. Conclusions:Although resection of huge PLC is quite difficult, but if suitable surgical techique and perioperative management are adopted ,it is safe and feasible.

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张绍庚,谈景旺,程俊波,江艺,林华.巨大原发性肝癌的手术切除[J].中国普通外科杂志,2004,13(3):3-169.
DOI:10.7659/j. issn.1005-6947.2004.03.003

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  • 在线发布日期: 2004-03-25