前入路途径切除右肝大肝癌安全性和疗效研究

目的探讨前入路途径肝切除术治疗右肝大肝癌的安全性和疗效。方法回顾性分析2006-01—2010-06间28例右肝大肝癌应用前入路途径右半肝切除术患者的临床资料。结果所有患者均安全完成手术。平均术中失血量820 mL,术中平均输血量660 mL,平均手术时间289 min,术后未出现严重并发症,无住院期间死亡病例。随访资料显示术后1、3年无瘤生存率分别57.1%,32.1%。结论前入路途径切除右肝大肝癌是一种安全的、疗效较好,应该优先选择的手术方式。

Study on the safety and efficacy of anterior approach right hemihepatectomy for large hepatic carcinoma

Objective To evaluate the safety and efficacy of the anterior approach right hemihepatectomy for large hepatic carcinoma. Methods The anterior approach was used for right hemihepatectomy in 28 patients with large hepatic carcinoma from January 2006 to June 2010 in the People＇s Hospital of Anyang City. Results Intraoperative blood loss and blood transfusion volume were 820 ml and 660ml,respectively. The average time of operation was 289min. No major postoperative complications or hospital death occurred. The 1-,3-year disease-free survival rates were 57. 1% and 32. 1%. Conclusion The anterior approach is a preferred technique for large right hepatic tumors that are difficult to resect in the conventional manner. It is safe and has better efficacy.