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目的:探讨巨大肝癌的手术方法。方法:对2001年6月—2009年6月期间的106例巨大肝癌患者中实施逆行切除术的21例患者的临床资料进行回顾性分析。结果:全组21例逆行切除患者无手术死亡病例,1、3、5年存活率分别为90%、33.3%、15.2%,术中术后未发生大出血、肝功能衰竭等并发症。结论:逆行切除能有效控制出血,提高了手术切除率,但要掌握好巨大肝癌逆行切除术的适应证及注意事项。
Objective: To explore the surgical method of huge liver cancer. Methods: The clinical data of 21 patients who underwent retrograde resection in 106 cases of giant hepatocellular carcinoma between June 2001 and June 2009 were analyzed retrospectively. Results: There were no surgical deaths in 21 cases of retrograde resection. The survival rates at 1, 3 and 5 years were 90%, 33.3% and 15.2% respectively. No postoperative complications such as hemorrhage and liver failure occurred after operation. Conclusion: The retrograde resection can effectively control the bleeding and improve the surgical resection rate. However, indications and precautions for retrograde resection of giant hepatocellular carcinoma should be mastered.