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巨块型肝癌以手术治疗为主。1995~1997年上半年手术治疗5例原发性巨块型肝癌。其中3例肝癌在常温下分别用阻断肝动脉或肝门和阻断腹主动脉、肝动脉、下腔静脉行无血肝切除右肝三叶2例,左半肝1例。另外2例在常温下缝扎肝实质行左半肝切除术。均取得良好效果。无血肝切除出血少,方法简便,安全性大。常温下缝扎肝实质切肝术出血少,省时,术后肝功能影响小。两者都扩大了肝切除适应症。
Massive hepatocellular carcinoma is dominated by surgery. From 1995 to 1997, surgical treatment of 5 cases of primary massive liver cancer. Three liver cancer patients underwent hepatic arterial or hepatic portal occlusion and blocked abdominal aorta, hepatic artery, and inferior vena cava respectively at room temperature. Two cases of right hepatic tricuspids and one case of left hemi liver were performed. In the other 2 cases, left liver hepatectomy was performed by suturing the liver at room temperature. Have achieved good results. Bloodless liver resection less bleeding, the method is simple and safe. Under normal temperature, sutured hepatic parenchymal hepatectomy has less bleeding, less time, and less postoperative liver function. Both have expanded hepatectomy indications.