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大肝癌手术切除探讨(附16例分析)
引用本文:饶荣生,杨红华,等.大肝癌手术切除探讨(附16例分析)[J].江西医学院学报,1990,30(4):39-41.
作者姓名:饶荣生  杨红华
作者单位:第二附属医院肿瘤科
摘    要:报告16例大肝癌手术切除治疗效果,癌块直径>7cm。其中巨块型12例,癌块>10cm9例;癌块>14cm3例,均经病理证实。Ⅱ期切除3例,均经肝固有动脉结扎加插管注药化疗,肿块缩小后再手术,术后生存1年4例,2年3例,3年4例,4年1例,全组中位生存期24.1个月,并对大肝癌的手术适应证及术式选择等进行了探讨。

关 键 词:肝肿瘤  肝切除术  适应证  术式选择

An Approach to the Resection of Large Hepetoma (an Analysis of 16 Cases)
Rao Rongsheng,Ni Yongwen,Yang Honghua,Wang Weisheng.An Approach to the Resection of Large Hepetoma (an Analysis of 16 Cases)[J].Acta Academiae Medicinae Jiangxi,1990,30(4):39-41.
Authors:Rao Rongsheng  Ni Yongwen  Yang Honghua  Wang Weisheng
Institution:Rao Rongsheng,Ni Yongwen,Yang Honghua,Wang Weisheng Department of Oncology,Second Affilated Hospital,Jiangxi Medical College
Abstract:The curative effect of resection on sixteen cases of large hepatocellular carcinoma (H. C. C)is re- ported in this article. The diameter of all masses was over 7 cm. 12 cases were of massive hepatocarci- noma with diameter of the mass in 9 patients over 10 cm and that in 3 patients over 14 cm, and pathologically proven. Second stage resection was per--formed in 3 patients after marked reduction of the tumor by combined treatment with hepatic artery ligntion (HAL) plus hepatic artery infusion chemotherapy (HAI). The postoperative survival of one year was found in 4 patients, two yesrs in 3, three years in 4 and four years in 1 patient. The median survival time of the patients was 24.1 months. The indcation of operation and the selection of operative methos have been discussed as well.
Keywords:liver neoplasms/surgery  hepatoma/surgery  hepatotomy/methods  case report
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