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目的总结原发性肝癌手术治疗的经验。方法回顾性分析32例肝癌病人的临床资料。结果手术方式:肝右后叶切除3例,肝左外叶切除6例,肝部分切除23例。临床治愈31例,1例死于肝功能衰竭。随访1～5年,术后1、3、5年的生存率分别为78.1%(25/32)、37.5%(12/32)、25%(8/32)。结论手术仍是治疗肝癌的首选方法,但应严格掌握适应证;提高手术操作技巧,积极、合理的围手术期处理是保证手术安全、成功的关键。
Objective To summarize the experience of surgical treatment of primary liver cancer. Methods The clinical data of 32 patients with liver cancer were retrospectively analyzed. Results Surgical methods: 3 cases of right posterior lobectomy, 6 cases of left lateral lobectomy and 23 cases of partial hepatectomy. Clinical cure in 31 cases, 1 patient died of liver failure. Follow-up 1 to 5 years, 1, 3, 5-year survival rates were 78.1% (25/32), 37.5% (12/32), 25% (8/32). Conclusions Surgery is still the first choice for the treatment of hepatocellular carcinoma. However, indications should be strictly followed. Improving surgical skills, positive and reasonable perioperative management is the key to ensure the safety and success of surgery.