论文部分内容阅读
目的:探讨累及第2、3肝门区肝癌切除的不同手术方法及血管损伤的处理措施。方法:17例累及第2、3肝门区的肝癌,平均癌灶直径6.5 cm,经右侧肋缘下或“屋顶式”切口进腹,充分暴露游离癌灶,进行规则性或非规则性肝切除。结果:手术死亡1例。存活时间最长的1例已达4 a无复发,术后1、2、3、4 a生存率分别为58.82%、52.94%、47.06%和29.41%。结论:对累及第2、3肝门区肝癌,如无明确手术禁忌证,虽影像学检查视为难以切除,但仍应争取开腹探查。
Objective: To explore different surgical methods and vascular injury treatment involved in the resection of hepatic carcinoma in the second and third hysterosimetry. Methods: Twenty-seven cases of HCC involving the second and third hepatic portal areas had an average diameter of 6.5 cm. The right fossa or “roof” incision into the abdomen revealed sufficient exposure of the foci, Regular liver resection. Results: One patient died of surgery. The longest surviving time had reached 4 years without recurrence, and the survival rates after 1, 2, 3 and 4 days were 58.82%, 52.94%, 47.06% and 29.41% respectively. CONCLUSION: If there is no clear contraindication for hepatocellular carcinoma involving the second and third hepatic hilar region, imaging should be considered as difficult to excise, but laparotomy should still be pursued.