巨块型肝癌的外科治疗(附143例报告)

目的：总结巨块型肝癌的外科治疗经验。方法：回顾性分析我院9年中手术治疗的143例巨块型肝癌（＞10cm)病例资料。结果：一期根治性手术切除癌肿101例（70．6％），经腹肝动脉插管化疗42例，术后近期并发症发生率为23．16％，手术死亡率2．1％，手术切除的101例术后1，3，5年生存率分别为85．4％，48．2％和11．7％，插管化疗的42例术后1，35年生存率分别为47．1％，4．2％和0％。结论：巨块型肝癌的手术切除治疗是安全可行的，在手术切除同时配合其他治疗有望延长患者生存期。

Surgical treatment of massive hepatocarcinoma(report of 143 cases)

Objective To summarize the experience of surgical treatment for massive hepatocarcinoma. Methods The data of 143 cases of massive hepatocarcinoma (more than 10cm diameter) were analysed retrospectively. Results One hundred and one patients (70.6%) acquired radical cure with first operation, 42 patients were received hepatic artery catherization therapy. The rate of postoperative complications was 23.6%,and the mortality was 2.1%. The survival rate of excised cases in time point of 1, 3 and 5 years was 85.4% , 48.2% and 11.7%, respectively;the survival rate of non excised cases was 47.1% ,4.2% and 0%,respectively. Conclusion It is safety and possable for massive hepatocarcinoma by operative excision, combined with other therapies, may improve the prognosis effectively.