改良式无血切肝术在复杂型肝细胞肝癌切除术中的应用

Abstract

目的讨论无血切肝在复杂型 HCC中的价值。对象和方法收集自 1997.1- 1999.1收治的复杂型 HCC2 2例 ,统计其性别、年龄及肿瘤大小、肿瘤的侵犯程度、围手术期处理方法、术中出血和输血量、阻断时间、术后肝衰、手术死亡、术后复发和生存时间等指标。结果 肿瘤最常侵犯的大血管是门脉 ,达 45 .45 % ;平均术中出血量为 818.18± 491.5 7ml,输血量为 890 .91± 6 15 .5 6 ml,术中无血阻断的时间为 2 2 .0 0± 13.0 8(6～ 5 5 )分钟 ,手术死亡率为 9.0 9% ,1年复发率为 45 .45 % ,1年生存率为 77.2 7%。结论 改良式无血切肝法能提高复杂型 HCC的手术切除率 ,减少术中出血量和输血量 ,延长肝脏热缺血耐受时间 ,手术死亡率低 ,能有效延长晚期 HCC的生存时间 ,因而它是一种安全有效的手术方法 【英文摘要】 Objective Hepatocellular carcinoma(HCC) were the most advanced and complex.In order to improve there low resection rates and poor prognosis,we used the improved no blood hepatectomy methods.Methods From 1997.1 to 1999.1,22 cases with complex HCC were resected with improved no blood hepatectomy method in our hospital.Results The most often invasived vascular was portal vein(45.45%),vascular block time was 22.00±13.08(6-55)mins,the surgical mortality was 9.09%,the recurrent rate in 1 years was 45.45%,and...