中国普通外科杂志2011，Vol.20Issue(1)：20-22,3.
极限量肝切除治疗巨大肝癌的安全性分析
Analysis on safety of extended lobectomy for huge primary hepatic carcinoma
陈中 1倪家连 1刘鲁岳 1刘晓明 1郑宝珍1
作者信息
- 1. 济南军区总医院肝胆外科,山东,济南,250031
- 折叠
摘要
Abstract
Objective To investigate the safety of extended hepatic lobectomy for huge primary hepatic carcinoma (HPLC). Methods A retrospective analysis was made on the clinical data of 69 patients with HPLC who underwent extended lobectomy in our hospital within the recent 7 years. The data included preoperative liver functional reserve, liver resection volume, remnant liver volume and postoperative recovery and survival. Results Preoperatively, ICGR 15 was ≤ 15 ％ in all the patients, and the estimated anatomic liver resection volume was 50％ to 70％. Forty-threc patients rcccived radical liver resection and 26 palliative resection. Three patients died within 1 month after operation; the operative death rate was 4.3 ％.Postoperative complications occurred in 27.5％ of the patients, but all recovered after treatment.Conclusions Assessment of hepatic functional reserve combined with accurate computer-aided measurements of liver volume can provide a reliable basis to determine the safe resected volume and proper limit of liver resection.关键词
肝肿瘤/外科学/肝切除术/方法/安全性分类
医药卫生引用本文复制引用
陈中,倪家连,刘鲁岳,刘晓明,郑宝珍..极限量肝切除治疗巨大肝癌的安全性分析[J].中国普通外科杂志,2011,20(1):20-22,3.
