原发性肝癌术后复发再手术疗效分析

目的 探讨肝细胞癌术后复发再手术的临床疗效.方法 对2000～2009 年手术治疗26例肝癌切除术后复发再手术的临床资料进行分析.结果 原发性肝癌术后复发再次手术切除23例,术中姑息性治疗3例,术后中位生存期为22个月.结论 肝癌术后应加强监测,早期发现病灶.手术再切除是肝癌术后复发的首选治疗方法,可明显延长患者术后生存时间.

Reoperation of 26 cases of postoperative recurrent hepatocellular carcinoma

Objective To sum up the experiences in reoperation for the treatment of postoperative recurrence hepatocellular carcinoma（HCC）.Methods The clinical data of 26 patients who received a second operation because of postoperative recurrence of HCC between 2000 and 2009 were analyzed retrospectively.Results Among the 26 patients,23 received surgical resection for the second time and 3 received palliative operation.The mean survival time after reoperation was 22 months.Conclusion The postoperative HCC patients should be carefully followed up in order to find recurrent tumor as early as possible.The re-resection of recurrent HCC is the first choice of the treatment and may markedly prolong the survival time of the patient.