87例原发性肝癌的手术切除治疗

目的 总结原发性肝癌的手术切除经验.方法 回顾性分析87例肝癌病人手术切除资料.结果 右半肝切除术7例,左半肝切除术5例,左外叶切除术7例,肝部分切除术68例.第一肝门阻断72例,阻断时间12-69分钟,平均27分钟.69例肝断面作对拢缝合.术中出血200-1800 ml,其中200-600 ml41例,700-1000 ml35例,1100-1500 ml9例,1600-1800 ml2例.术后并发症发生率为10.3%,手术死亡率1.2%.结论 肝切除术后并发症发生率较高,手术死亡率低,提高手术操作技巧,术中控制出血量和肝切除量,可降低并发症发生率和手术死亡率.

Hepatectomy for 87 cases of hepatocellular carcinoma

Objective To summarize the experience of hepatectomy in treatment of hepatocellular carcinoma(HCC). Methods To clinical date of 87 HCC patients received hepatectomy were retrospectively analyzed. Results Right-half lobectomy was performed in 7 patients,left-half lobectomy in 5 patients,left lateral lobectomy in 7 patients,partial resection in 68 patients. The porta hepatis occlusion was employed in 72 patients,its times was 12-69 minutes,perioperative blood loss was 200-1800ml. The morbidity was 10.3%,the mortality was 1.2%. Conclusions Though hepatectomy for HCC may result in a relatively high overall morbidity,its operative mortality was significantly low. The morbidity and operative mortality can be decreased by improving surgical skills,decreasing blood loss and controlling the volume for hepatectomy.