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目的 总结难切性肝癌的肝切除方法。方法 1994年 6月至 1999年 6月应用逆行肝切除术切除癌灶巨大、显露困难或紧密粘连甚至侵犯相邻器官和累及下腔静脉的难切性肝癌 178例(甲组 )。同期用常规方法切除类似难切性肝癌 31例用作对照 (乙组 )。结果 两组均无围手术期死亡 ,甲组术中失血量为 (1336± 994)ml,乙组为 (2 2 86± 136 3)ml,P <0 0 1,术后并发症发生率也明显低于乙组 (P <0 0 1)。结论 应用逆行肝切除术结合血管外科技术切除肝癌是安全和合适的
Objective To summarize the liver resection method for difficult-to-diagnose liver cancer. Methods From June 1994 to June 1999, retrograde hepatectomy was used to remove 178 cases of difficult-to-observe liver cancer (Group A) with large tumors, difficult or close adhesions, and even invading adjacent organs and involving the inferior vena cava. During the same period, similarly difficult-to-differentiate liver cancers were removed by conventional methods as a control (Group B). Results There were no perioperative deaths in both groups. The blood loss in group A was (1336± 994) ml, and that in group B was (2 2 86 ± 136 3) ml, P <0.01. The postoperative complication rate was also It was significantly lower than that of group B (P < 0 01). Conclusion Retrograde hepatectomy combined with vascular surgery is safe and appropriate for excision of liver cancer