肝段切除治疗第Ⅸ肝段肝癌

目的:探索第Ⅸ肝段肝癌肝段切除的方法。方法:在不阻断肝血流的情况下切除第Ⅸ肝段治疗第Ⅸ肝段肝癌11例,其中原发性肝癌10例、转移性肝癌1例。结果:肿瘤直径6．14cm(中位数9．2cm),无手术死亡,术中失血200—600ml(中位数350m1),无明显术后并发症,术后住院9—14d(中位数11d),术后4—6周开始第1次经肝动脉栓塞化疗,以后1年内每2—4个月重复1次。随访5—29个月(中位数17个月),肝内转移1例,无瘤生存10例。结论:在不阻断肝血流情况下行肝段切除是治疗第Ⅸ肝段肝癌安全、可靠的方法。

Segmentectomy for hepatoma originated from segment IX

OBJECTIVE: To report the procedure of segmentectomy for hepatoma located in segment IX. METHODS: 11 cases of hepatoma originated from segment IX were treated by segmentectomy without interruption of blood flow of the liver. Among total 11 cases, 10 cases were primary liver cancer, the other one was secondary liver cancer. RESULTS: Tumor diameters from 6 to 14 cm (median 9.2 cm), no perioperative death occurred in this group. Intraoperative blood losses were 200-600 ml (median 350 ml) without severe postoperative complications. Postoperative hospitalization time were 9-14 days (median 11 days). Transhepatic artery chemoembolization (TACE) was given at 4-6 weeks after operation and repeated at intervals of 2 to 4 months for 1 year. During the follow up time of 5-29 months (media 17 months), 10 patients were tumor-free and 1 patient developed an intrahepatic metastasis. CONCLUSIONS: Segmentectomy without interruption of blood flow of the liver is safe and practical for hepatoma located in segment IX.