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肝切除术治疗原发性肝癌51例

HEPATECTOMY FOR 51 CASES OF PRIMARY LIVER CARCINOMA

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【作者】 吕新生; 韩明; 鲁恩赐; 伍迪群;

【Author】 Lu Xinsheng Han Ming Lu Enci Wu Diqun Department of Surgery,First Affiliated Hospital,Hunan Medical College

【机构】 湖南医学院第一附属医院腹部外科; 湖南医学院第一附属医院腹部外科;

【摘要】 51例患者(其中46例为原发性肝细胞癌)的手术死亡率为11.5%,术后随访率为82.5%;手术后半年、1年、2年和5年生存率分别为66.7%、39.4%、21%和6%。对手术指征、影响手术死亡率和术后生存时间的有关因素进行了讨论。

【Abstract】 Fifty-one cases of resectable primary liver carcinoma with 11.5% operative mortality were reported. 46 cases of those were primary hepatocellular carcinoma (PHCC). One of the PHCC patients had undergone hepatectomy twice,the secondary operation was undertaken 22 months after the primary hepatectomy owing to a recurrent hepatoma.82.5% of the PHCC patients were follwed up. Those patients survived from 1.5 to 100 months postoperatiely. The survival rates at 1/2,1,2,and 5 years were 66.7%,39.4% 21% and 6% respectively. opeation indications and factors rela ted to the operative mortality and postoperative survival period were discussed.

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