【摘要】 目的:探讨尾状叶巨块型肝癌(直径≥10 cm)行单纯全尾状叶切除手术的可行性及疗效。方法:回顾性分析2001年1月至2011年12月27例单纯全尾状叶切除的巨块型肝癌患者的临床资料。结果:27例患者均顺利手术,无死亡病例,平均手术时间288 min,平均出血量2 260 mL,44%的患者出现了术后并发症,经积极处理均顺利出院。术后1,3,5年的总生存率分别是80.2%,52.1%,27.1%。结论:尾状叶巨块型肝癌行单纯全尾状叶切除安全有效。更多还原

【Abstract】 Objective: To explore the feasibility and effi cacy of isolated caudate lobe resection for caudate lobe in huge hepatocellular carcinoma(10 cm or larger in diameter).Methods: Clinical data of 27 patients with hepatocellular carcinoma larger than 10 cm who underwent isolated caudate lobe resection from January 2001 to December 2011 were retrospectively analyzed.Results: All the patients successfully completed the operation. Th ere was no postoperative death. Median operative time was 288 min, and the estimated intraoperative blood loss was 2 260 mL. Postoperative morbidity rate was 44.4%. The patients were discharged successfully after active treatment. Overall survival rates at 1, 3, and 5 years were 80.2%, 52.1%, and 27.1%, respectively.Conclusion: Isolated caudate lobe resection is safe and effective for caudate lobe huge hepatocellular carcinoma.更多还原