肝癌切除疗效分析112例报告

目的：分析原发性肝癌手术切除的方法及效果。方法：对手术切除的原发性肝癌112例从肿瘤部位、大小、人肝血流阻断、切除方式、失血量、手术时间等方面进行分析。结果：手术切除率26.23%,手术死亡率0.89%,5年生存率18.75%,10年生存率仅2例。结论：原发性肝癌患者就诊时多数已为中晚期或大肝癌,手术切除后疗效较差。提高生存率关键是：小肝癌的切除、切除方式、术后TACE、复发再切除及术后生物治疗等。

The Analysis on Curative Effect after Hepatectomy on 112 Cases of Hepatocellular Carcinoma

Objective： To analyze methods of hepatectomy and its effect for hepatocellular carcinoma （HCC）. Methods： One hundred and twelve patients with HCC after operation were analyzed by tumor position, tumor size, ligation of human liver blood stream, pattern of liver resection, measurement of losed blood, time of hepatectomy etc. Results： The operation resection rates was 26.23%, the mortality rate of operation was 0.89%, the 5-year survival rates was 18.75% and only two patients had a 10-year survival rates. Conclusion： Owing to when the most of patients were diagnosed with HCC was in the medium-end stage or in the large liver carcinoma stage, the outcome of hepatectomy was poor. The key to improve the survival rates were the resection of small liver carcinoma, pattern of operation,TACE after operation, re-resection for recurrence liver carcinoma and biotherapy after operation etc.