【摘要】 目的　探讨尾状叶原发性肝癌手术切除的方式及其影响。方法　自 1995年至 2 0 0 3年 ,对 39例尾状叶原发性肝癌进行了手术切除 ,其中单独尾状叶切除 19例 ,联合切除 2 0例。并对两组病例中可能影响术后肝功能的指标进行了比较。结果　 39例患者均被成功切除肿瘤 ,1例于术后 30d因肾功能衰竭死亡 ,3例并发胸腔积液 ,4例并发腹水 ,1例并发胆漏 ,其余病例均顺利恢复。术后 30例获得随访 ,1年、3年、5年生存率分别为 5 3%、5 0 %、39%。结论　尾状叶切除是治疗原发于尾状叶肝癌的有效手段 ,若肿瘤原发于肝尾状叶而又无其他肝叶侵犯时 ,单独尾状叶切除该是外科治疗的最佳选择。更多还原

【Abstract】 Objective To explore the significance of surgical treatment of HCC originating from caudate lobe. Methods From 1995 to 2003, caudate lobecotomy, including 19 cases of isolated lobectomy and 20 cases of combined lobectomy, were performed in 39 patients with HCC originating from caudate lobe, and the factors that might influence postoperative liver function were compared between the two groups. Results All tumors were resected successfully. One patient died of postoperative renal failure. Hydrothorax occured in 3 patients, ascites in 4 patients, and bile leakage in 1 patient. The survival rates of 1, 3, 5 year were 53%、50%、39% respectively. Conclusions Caudate lobectomy is a effective method for HCC originating from caudate lobe.更多还原