肝切除治疗原发性肝癌82例分析

目的：探讨肝切除治疗原发性肝癌的疗效。方法：回顾性分析2001年7月至2003年12月手术治疗情况。结果：右半肝切除15例、左半肝切除26例、肝中叶切除10例、肝右后叶切除7例、肝局部切除24例。术后病理诊断为肝细胞癌75例、胆管细胞癌7例。本组术后近期出血1例．再次手术止血；胆瘘3例，2例行腹腔引流治愈，1例行ERCP置管引流治愈；无手术死亡。术后半年内死亡10例(12．2％)，1年内死亡27例(32．9％)，余45例现均存活。结论：掌握肝切除手术指征及肝切除量、严格控制术中肝出血、正确处理肝创面及术后并发症，才能保证手术治疗的效果。

Curative Effect Analysis of Hepatectomy for the Treatment of 82 Patients with Primary Liver Cancer

Objective: To investigate the curative effect of hepatectomy on primary liver cancer.Method: In retrospective study of 82 cases of primary liver cancer treated by hepatectomy from July 2001 to December 2003. Result: All the 82 cases,15 were treated with right hemihepatectomy,26 with left hemihepatectomy,10 with quadrate lobectomy,7 with right posterior lobectomy,24 with localization lobectomy.Postoperative pathdogic:75 were liver cell carcinoma,7 were carcinoma of bileduct.one case with postoperative hemorrhea,hemostated by reoperation.3 patients with biliary fistula,2 cases were cured by drainage,1 case was cured by ERCP.No one died in operation.10(12.2%) died in half year,27(32.9%) died in one year.Conclusion: Control the indication and amount of heratectomy,contral hemorrhea,treat incised wound of liver correctly and prevent postoperative complications ,that can guarantee the effect of hepatectomy.