| 再切除在肝癌复发治疗中的作用和地位 |
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| 引用本文： | 武金才,陆才德,彭淑牖,戴德坚. 再切除在肝癌复发治疗中的作用和地位[J]. 中华肝胆外科杂志, 2004, 10(1): 14-16 |
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| 作者姓名： | 武金才 陆才德 彭淑牖 戴德坚 |
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| 作者单位： | 1. 324000,浙江省,衢州市人民医院肝胆外科
2. 浙江大学医学院附属二院 |
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| 摘 要： | 目的 探讨再切除在肝癌术后复发治疗中的价值。方法 回顾性分析1988～1999年30例肝癌复发再手术切除的随访资料。结果 对30例肝癌术后复发病人共行33例次手术，首次手术后1，2，3，5年总生存率分别为93．3，73．3，56．7，36．7％。第一次再手术后1，3，5年生存率分别为63．3，23．3，13．3％。肺转移切除后1，3，5年生存率分别为71．4，42．9，28．6％。结论 肝癌术后复发行再切除能显著提高病人远期生存率，是目前肝癌术后复发的首选治疗方案。
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| 关 键 词： | 肝癌 再切除 术后复发 生存率 癌复发 治疗中 病人 远期 |
| 修稿时间： | 2002-09-09 |
Role of re-resection in treatment of recurrent hepatocellular carcinoma |
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| WU Jincai ,LU Caide,PENG Shuyou,et al.. Role of re-resection in treatment of recurrent hepatocellular carcinoma[J]. Chinese Journal of Hepatobiliary Surgery, 2004, 10(1): 14-16 |
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| Authors: | WU Jincai LU Caide PENG Shuyou et al. |
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| Affiliation: | WU Jincai *,LU Caide,PENG Shuyou,et al. * Department of Hepatobilairy Surgery,the People's Hospital of Quzhou City,Quzhou 324000,P. R. China |
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| Abstract: | Objective To investigate the role of re-resection in treatment of recurrent hepatocellular carcinoma (HCC). Methods The follow-up data of 30 cases of recurrent HCC receiving re-resection in our hospital from 1988 to 1999 were retrospectively analyzed. Results The repeated resection was performed for 33 times in 30 cases of recurrent HCC. The 1-, 2-, 3- and 5-year survival rates in the patients after the first operation were 93.3%, 73.3%, 56.7% and 36.7%, respectively. The 1-, 3- and 5-year survival rates were 63.3%, 23.3% and 13.3%, respectively, after the first re-resection and 71.4%, 42.9% and 28.6%, respectively, after resection of pulmonary metastatic lesions. Conclusions Re-resection of recurrent HCC can markedly prolong the survival of patients. Thus it is of first choice for treatment of recurrent HCC after the first operation. |
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| Keywords: | Liver neoplasm Re-operation Recurrence |
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