【摘要】 １９６０～１９９１年８９６例原发性肝癌作肝切除术。其中局部切除５５２例（６１．６％），左外叶切除１１４例（１２．７％），左半肝切除１５７例（１７．５％），左三叶切除１９例（２．１％），右半肝切除５０例（５．６％），右三叶切除４例（０．４％）。手术死亡率为４．６％。术后１、３、５、１０年生存率分别为７６．９％、５５．５％、４５．５％、３４．４％；其中３４５例小肝癌则分别为８８．８％、７３．９％、６２．７％、４８．６％，１３５例术后生存５年以上，其中４０例生存１０年以上。对进一步降低手术死亡率和提高远期疗效作了讨论。更多还原

【Abstract】 From 1960～1991, hepatectomy was performed in 896 patients with primary liver cancer (PLC),of which local resectional was performed in 552 cases (61.6%),left lateral segmentectomy in 114 cases (12.7%),left hemihepatectomy in 157 cases (17.5%),extended left hemihepatectomy in 19 cases (2.1%),right hemihepatectomy in 50 cases (5.6%)and extended right hemihepatectomy in 4 cases(0.4%). The overall operative mortality was 4.6%. The 1-,3-,5-,and 10-year survival rates after hepatectomy were 76.9%,55.5%.45.5%, and 34.4%, respectively, for the whole series. Among the 345 patients with small PLC(≤5cm),the corresponding rates after resection were 88.8%,73.9%,62.7%,and 48.6%. In the entire series,135 patients have survived for more than 5 years after hepatectomy,of them 40 patients have survived for more than 10 years after hepatectomy. The approaches to decreasing operative motality and improving long-term results are discussed.更多还原