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对1959年9月~1993年4月行肝癌肝切除588例进行回顾,第一阶段(1959年9月~1985年12月)施行传统肝切除术142例,均为直径>5cm中晚期肝癌,手术死亡率11%,术后3年和5年生存率分别为18%、7%。第二阶段(1986年1月~1993年4月)行肝癌肝切除术446例,以肝段切除及癌肿局部切除为主,采用多种技术改良及高新医疗设备,并予以化疗、免疫治疗等综合措施,手术死亡率<2%,术后1年、3年、5年生存率分别为89%、55%、26%。
The retrospective review of 588 cases of hepatectomy for liver cancer between September 1959 and April 1993 was performed. The first stage (September 1959-December 1985) performed 142 cases of conventional hepatectomy, all of them were hepatocellular carcinoma with a diameter of >5cm. The operative mortality rate was 11%, and the 3-year and 5-year survival rates were 18% and 7%, respectively. In the second phase (January 1986-April 1993), 446 cases of hepatocellular carcinoma were treated with liver resection and local resection of cancer. A variety of technical improvements and high-tech medical equipment were used, and chemotherapy and immunotherapy were given. Comprehensive measures such as surgical mortality rate <2%, postoperative 1-year, 3-year, 5-year survival rates were 89%, 55%, and 26%, respectively.