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目的 探讨手术切除大肝癌的可行性和安全性。方法 回顾性分析总结我院近 10年施行手术切除的 78例大肝癌的资料 ,并与同期手术治疗的 2 7例小肝癌进行比较。结果 大肝癌组施行的手术切除范围、术中失血量显著大于小肝癌组 ,手术时间亦明显长于小肝癌 ,因而并发症率也高 (P <0 .0 5 ) ,但两组间的死亡率并无显著差别 (P >0 .0 5 )。结论 大肝癌应积极地进行手术切除。经过仔细地选择病例 ,手术切除是安全可行的。
Objective To explore the feasibility and safety of surgical resection of large liver cancer. Methods We retrospectively analyzed the data of 78 patients with large hepatocellular carcinoma who underwent surgical resection in our hospital in the past 10 years and compared them with 27 cases of small hepatocellular carcinoma treated by surgery during the same period. Results The range of surgical resection and intraoperative blood loss in the large hepatocellular carcinoma group was significantly greater than that in the small hepatocellular carcinoma group. The operative time was also significantly longer than that of the small hepatocellular carcinoma. The complication rate was also high (P < 0.05), but the mortality rate between the two groups was significant. There is no significant difference (P > 0.05). Conclusions Large HCC should actively undergo surgical resection. After careful selection of the case, surgical resection is safe and feasible.