【摘要】 ［目的］探讨原发性大肝癌的手术治疗方法。［方法］回顾性分析１９９２年２月至１９９９年１０月间手术切除的９４例原 发性大肝癌。治疗方法分Ⅰ期手术切除（７８例）、肝动脉栓塞化疗（ＴＡＥ）或肝动脉结扎（ＨＡＬ）后Ⅱ期切除（１２例）及癌块中心挖除 快速缩小后Ⅱ期切除（４例）三种。［结果］全组手术死亡３例，总的１、３及５年生存率分别为６３．７％、３４．４％和３０．０％。［结论］尽量 保留肝组织的不规则肝切除是原发性大肝癌的有效术式， ＴＡＥ／ＨＡＬ的治疗效果有待提高，而癌块快速缩小后 Ⅱ期手术切除的方 法值得进一步探索。更多还原

【Abstract】 Purposes] To discuss the method of hepaectomy for large primary liver cancer(LPLC). [Methods] Ninty-four LPLC patients undergoing hepaectomy from Feb. 1992 to Oct. 1999 were analyzed retrospectively. The operating modality included one-stage hepatectomy(78 cases), secondary stop resection following cytoreduction by Trans-catheter Artery Embolism(TAE) or Hepatic artery ligation (HAL) (12 cases), and secondary stage resection following core excision(4 cases). [Results]Three patients died due to operation. The 1-, 3-, and 5-year survival raies of this group were 67. 3%, 34. 4%, and 30. 0%, respectively. [ Conclusion ] Irreular hepatectomy for preserving liver tissue as much as possible is effective in treatment for LPLC. The therapeutic effect of TAE/HAL should be enhanced. Secondary stage resection following tumor core excision is worthy of further study更多还原