解剖学方法行肝切除在老年肝癌患者临床应用的疗效观察

目的探讨解剖学方法行肝切除在老年肝细胞癌患者的疗效。方法回顾性分析了125例行手术切除的老年肝细胞肝癌患者的临床资料，其中72例为解剖学方法行肝切除的患者，53例为传统方法行肝切除的患者。结果解剖学方法组无手术死亡，无术后腹腔出血，术后并发症7例（9．7％），术后住院时间（12．6±4．5）d；1、3、5年生存率分别为87．4％、70．1％、60．7％；传统方法组围手术期死亡2例（3．7％），术后腹腔出血2例，术后并发症15例（28．3％），术后住院时间（17．2±9．7）d，1、3、5年生存率分别为79．5％、53．9％、40．8％。解剖学方法组较传统方法组术中出血及输血少，手术并发症发生率低，住院时间缩短（P〈0．05）。结论老年肝癌患者采取解剖学方法行肝切除术，术中出血少，术后并发症少，临床疗效满意。

Efficacy of anatomic hepatectomy for hepatocellular carcinoma in elderly patients

Objective To evaluate the efficacy of anatomic hepatectomy for hepatocellular carcinoma (HCC) in elderly patients. Methods 125 elderly patients who had received hepatic resection for HCC were analyzed retrospectively. Anatomic hepatectomy was performed in 72 patients (group A), traditional hepatectomy in 53 patients (group B). Results In group A, there were no perioperative mortality and postoperative bleeding. Seven patients (9.7%) had complications. Postoperative hospitalization was (12.6±4.5) days. The 1-, 3- and 5-year survival rates were 87.4%, 70.1% and 60.7%, respectively. In group B, 2 patients (3.7%) died in the perioperative period, 2 had postoperative bleeding, and 15 (28.3%) had complications. Postoperative hospitalization was(17.2±9.7) days .The 1-, 3- and 5-year survival rates were 79.5%, 53.9% and 40.8%, respectively. Conclusions The efficacy of anatomic hepatectomy for HCC in elderly patients is satisfactory.