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目的 探讨肝癌肝移植的适应证、手术技术及围手术期处理特点。方法 对１ 例男性，５３ 岁的不能切除的肝尾叶癌患者进行了原位肝移植。结果：移植肝活力恢复良好，虽出现呼吸功能不全、肾功不全、肺部感染、凝血障碍、顽固性胸腹水等并发症，均经及时处理得以恢复。结论 不能切除的中央型肝癌及肝癌伴有严重肝功损害者为肝移植的良好适应证，完善的手术技术及正确的围手术期处理是保证肝移植成功的关键。
Objective To investigate the indications, surgical techniques and perioperative management characteristics of liver transplantation for liver cancer. Methods An orthotopic liver transplant was performed in 1 male, 53-year-old unresectable liver cancer. Results: Transplantation liver activity recovered well. Although complications such as respiratory insufficiency, renal insufficiency, pulmonary infection, coagulation disorder, intractable pleural effusion and ascites occurred, they were all recovered through timely treatment. Conclusion The unresectable central liver cancer and liver cancer with severe liver function impairment are good indications for liver transplantation. Perfect surgical techniques and correct perioperative management are the key to ensure the success of liver transplantation.