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目的 介绍当前对晚期肝肿瘤的治疗进展。 方法 综述了有关文献报道及作者的临床经验。 结果 通过选择适当的病例进行扩大的联合肝肿瘤整块切除 ,诱导肝实质代偿性增生 ,将晚期无法切除的肿瘤转变为可切除 ,实施肝移植和作细胞减数手术配合全身化疗 ,可以扩大肝脏手术切除的应用范围。使用适当的新型相关辅助治疗能进一步提高肝切除治疗局限性晚期肝肿瘤的疗效。 结论 治疗方法的最新进展已不同程度地提高了肝细胞性肝癌、其它原发性肝肿瘤和转移性肝癌的疗效
Objective To introduce the current progress in the treatment of advanced liver tumors. Methods Summarized relevant literature reports and the author’s clinical experience. RESULTS Expansion of the combined hepatic tumor en bloc by selecting appropriate cases, induced compensatory hyperplasia of the hepatic parenchyma, converted the late unresectable tumor into resectable, and performed liver transplantation and cytoreductive surgery combined with systemic chemotherapy, which could be expanded. The scope of application of liver resection. The use of appropriate new-type adjuvant therapy can further improve the efficacy of hepatectomy in the treatment of locally advanced hepatic tumors. Conclusion Recent advances in treatment have improved the efficacy of hepatocellular carcinoma, other primary liver tumors, and metastatic liver cancer to varying degrees.