论文部分内容阅读
目的探讨原发性肝癌的手术治疗经验。方法对59例原发性肝癌患者手术切除临床资料进行回顾性分析。其中右半肝切除术5例,左半肝切除术10例,肝右后叶切除术4例,肝左外叶切除术3例,肝局部切除术37例。结果 59例患者均治愈;术后出血2例,胆漏3例,胸腔积液4例,膈下感染2例,切口脂肪液化3例,切口裂开2例,出现腹水11例。第一肝门阻断47例,阻断时间10～45 min,半肝血流阻断12例。术中出血200～1800 ml。结论术前正确把握手术指征,肝可切除范围和剩余肝量的评估,认真做好术前准备,选择最佳的手术方法,术中控制出血量,正确处理肝创面,积极防治术后并发症是手术成功的关键。
Objective To investigate the surgical treatment of primary liver cancer. Methods The clinical data of 59 patients with primary liver cancer undergoing surgical resection were analyzed retrospectively. Among them, there were 5 cases of right hepatectomy, 10 cases of left hepatectomy, 4 cases of right posterior lobectomy, 3 cases of left hepatic lobectomy and 37 cases of partial hepatectomy. Results 59 patients were cured. There were 2 cases of postoperative bleeding, 3 cases of bile leakage, 4 cases of pleural effusion, 2 cases of subphrenic infection, 3 cases of incision fat liquefaction, 2 cases of incision rupture and 11 cases of ascites. The first hilar block in 47 cases, blocking time 10 ~ 45 min, hemifacial blood flow in 12 cases. Intraoperative bleeding 200 ~ 1800 ml. Conclusions Correct preoperative evaluation of surgical indications, hepatic resectable range and residual liver volume, careful preoperative preparation, choose the best surgical methods, intraoperative control of bleeding, the correct treatment of liver wounds, active prevention and treatment of postoperative complications Symptoms are the key to successful operation.