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本文总结了我科自1988年以来手术后围手术期死亡的21例原发性肝癌患者,男性18例,女性3例。其中肝癌主瘤位于右肝13例,左肝3例,肝门部1例,中肝(即左内和右前叶)4例。肿瘤平均直径为9cm,最大者为14cm。21例患者均有不同程度的肝硬变。手术方式以肝叶部分切除术为主。患者死亡相对集中的时间为术后7天内、术后7~14天和术后14天以后。同时分析了术后不同时间患者死亡的原因,并就肝叶切除量与肝衰及肝硬变与肝再生的关系进行了探讨。
This article summarizes 21 patients with primary liver cancer who died during perioperative period after surgery in our department since 1988, 18 males and 3 females. Among them, hepatocellular carcinoma tumors were located in 13 cases of right liver, 3 cases of left liver, 1 case of hilar, and 4 cases of middle liver (ie left inner and right anterior lobe). The average diameter of the tumor was 9 cm and the largest was 14 cm. All 21 patients had varying degrees of cirrhosis. The surgical approach was based on partial hepatectomy. The relative time of death was 7 days after surgery, 7 to 14 days after surgery, and 14 days after surgery. At the same time, the cause of death was analyzed at different time after operation. The relationship between hepatectomy and liver failure, liver cirrhosis and liver regeneration was discussed.