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目的探索微创性治疗肝癌的新途径。方法１９９５年８月～１９９６年１０月应用腹腔镜和微波技术，对２例周边型肝癌病人行微波凝固止血后肿瘤切除，５例不能手术切除的肝癌病人行肿瘤病灶微波固化治疗。结果２例肝切除者，１例术后６个月复发，但２例存活时间均达２０个月。微波固化者存活时间６～１６个月。结论微波凝固止血可有效地控制肝切面的渗血，从而减少了腹腔镜切肝的风险和困难。微波固化可使２ｃｍ范围内的肝组织凝固坏死，肝癌细胞失活。对于不可切除的晚期肝癌或伴有严重肝损害不宜手术切除的肝癌，是一种简便、安全、微创而有效的治疗方法。
Objective To explore a new approach to minimally invasive treatment of liver cancer. Methods From August 1995 to October 1996, laparoscopic and microwave techniques were applied to resect tumor in 2 patients with peripheral liver cancer after microwave coagulation and hemostasis. Five patients with unresectable liver cancer underwent microwave curing therapy. Results In 2 cases of hepatectomy, 1 case relapsed 6 months after operation, but both survived for 20 months. Microwave curing survival time of 6 to 16 months. Conclusion Microwave coagulation hemostasis can effectively control the oozing of the liver section, thus reducing the risk and difficulty of laparoscopic liver resection. Microwave curing can make 2cm range of liver tissue coagulation and necrosis, liver cancer cells inactivated. It is a simple, safe, minimally invasive and effective treatment for unresectable advanced liver cancer or hepatocellular carcinoma that is not suitable for surgical resection with severe liver damage.