论文部分内容阅读
报道640例原发性肝癌作肝切除术。其中局部切除317例(49.5％),左外叶切除98例(15.3％),左半肝切除160例(25.0％),扩大左半肝切除12例(1.9％),右半肝切除49例(7.7％),扩大右半肝切除4例(0.6％)。手术死亡率为5.5％。术后1、3、5、10年生存率分别为73.1％、48.9％、38.7％、28.1％;其中210例小肝癌则分别为89.7％、77.0％、63.8％、43.5％。78例术后生存5年以上,其中30例生存10年以上。对肝切除指征、手术操作及进一步提高手术远期疗效作了讨论。
640 cases of primary liver cancer were reported for liver resection. Among them, 317 (49.5%) were locally excised, 98 (15.3%) were treated with left lateral lobectomy, 160 (25.0%) were treated with left hemihepatectomy, 12 (1.9%) were enlarged with left hemihepatectomy, and 49 patients were treated with right hemihepatectomy. (7.7%), enlarged right hemihepatectomy in 4 cases (0.6%). The operative mortality rate was 5.5%. The 1-, 3-, 5-, and 10-year survival rates were 73.1%, 48.9%, 38.7%, and 28.1%, respectively, of which 210 cases were small, 89.7%, 77.0%, 63.8%, and 43.5%, respectively. 78 cases survived more than 5 years after surgery, and 30 of them survived for more than 10 years. Hepatectomy indications, surgical procedures, and further improvement of the long-term efficacy of the surgery were discussed.