| 伴活动性肝炎的肝细胞癌围手术期处理 |
| |
| 引用本文： | 张绍庚,谈景旺,程俊波,吕立志,江艺,姚和祥.伴活动性肝炎的肝细胞癌围手术期处理[J].中华肝胆外科杂志,2003,9(8):475-477. |
| |
| 作者姓名： | 张绍庚 谈景旺 程俊波 吕立志 江艺 姚和祥 |
| |
| 作者单位： | 350025,福州市,南京军区福州总医院肝胆外科 |
| |
| 摘 要： | 目的 探讨伴活动性肝炎的肝细胞癌的可切除性和安全性。方法 26例伴活动性肝炎的肝细胞癌，平均肿瘤直径7．7cm，经术前短期护肝治疗后行肝肿瘤切除术，术后继续护肝治疗。结果 26例肝癌均得到顺利切除，最常见的并发症为一过性肝功能损害，无手术死亡和严重并发症，平均手术时间65min，平均出血量328ml。结论 伴活动性肝炎的原发性肝癌的手术切除虽有一定的挑战性，只要围手术期处理得当，仍是安全可行的。
|
| 关 键 词： | 活动性肝炎 肝细胞癌 围手术期 手术治疗 并发症 安全性 肿瘤切除术 |
| 修稿时间： | 2002年3月25日 |
Perioperative management of patients with hepatocellular carcinoma accompanied by active hepatitis |
| |
| ZHANG Shaogeng,TANG Jingwang,CHENG Junbo,et al..Perioperative management of patients with hepatocellular carcinoma accompanied by active hepatitis[J].Chinese Journal of Hepatobiliary Surgery,2003,9(8):475-477. |
| |
| Authors: | ZHANG Shaogeng TANG Jingwang CHENG Junbo |
| |
| Institution: | ZHANG Shaogeng,TANG Jingwang,CHENG Junbo,et al. Department of Hepatobiliary Surgery,Fuzhou General Hospital of Nanjing Command,Fuzhou 350025,P. R. China |
| |
| Abstract: | Objective To investigate the feasibility and safety of resection of hepatocellular carcinoma (HCC) accompanied by active hepatitis (AH). Methods Twenty six patients with HCC (mean diameter = 7 7 cm) accompanied by AH were surgically treated. After the operation, the patients were continuously treated to improve the liver function. Results The tumor was successfully resected in all the 26 patients. There were no serious complications and postoperative mortality or morbidity. The mean operative duration was 65 min and the mean blood loss 328 ml. Conclusions It is feasible and safe to resect HCC accompanied by AH if proper perioperative management is performed. |
| |
| Keywords: | Carcinoma hepatocellular Hepatitis Hepatectomy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
