【摘要】 目的探讨损伤控制和加速康复外科理念在原发性肝癌合并肝硬化手术中的临床应用。方法回顾性分析我院2008年1月至2009年10月采用损失控制和加速康复外科理念手术治疗63例原发性肝癌合并肝硬化患者的临床资料。结果63例患者无一例手术死亡病例。术后并发症14例,其中切口液化4例、肺部感染1例、胸腔积液3例及中度腹水6例,经保守治疗后痊愈。结论原发性肝癌合并肝硬化患者的手术治疗,按照损失控制和加速外科原则,选择合适的手术方式及围手术期处理以减少手术风险、手术并发症及死亡率,促进患者早期康复。更多还原

【Abstract】 Objective To explore the clinical application of damage control surgery(DCS)and fast tract surgery(FTS)for primary hepatocellular carcinoma(HCC)with cirrhosis.Methods The clinical data of 63 patients with primary HCC with cirrhosis from January 2008 to October 2009 was retrospectively analyzed on preference of DCS and FTS.Results All of 63 cases survived.Incision infection occurred in 4 cases,lung infection in 1 case,pleural effusion in 3 case3,and moderate ascites in 6 cases.All complications were cured by conservative treatment.Conclusion To reduce complications and increase survival rate,primary HCC with cirrhosis should be treated positively under DCS and FTS.更多还原