【摘要】 本文介绍自１９８６年１０月至１９９２年１０月对８２例肝门区中晚期肝癌，施行肝叶或肝段切除术的体会。肿瘤分布在Ⅳ、Ⅴ、Ⅷ、Ⅰ段，本组有８７％患者合并有肝硬变。手术特点是经腹部切口完成，不须要开胸，用框架式拉钩；常温下肝门阻断和游离大网膜覆盖创面法。术后并发症少，手术死亡率低。术后总生存率１、３、５年分别为５４．４％、３８．０％和２２．８％。更多还原

【Abstract】 Abstract From Oct. 1986 through Oct.1992,82 cases of perihilar advanced liver cancer underwent hepatic lobectomy or segmectomy.The location of the tumor was at segment Ⅳ,Ⅴ,Ⅷ,and Ⅰ,with 87% of all cases complicated by cirrhosis.The technique was characterized by abdominal approach only,by using frame retractor to get satisfactory exposure,by hilar occlusion at room temperature,and covering the raw surface using isolated omentum. It has the great advantage of less mortality and morbidity.The postoperative 1, 3, and 5 year’s survival rate were 54.4%, 38.0%,and 22.8%,respectively .更多还原