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目的:总结第二肝门部肿瘤手术切除经验。方法:对手术切除的137例第二肝门部肿瘤患者的临床资料进行回顾性分析,并结合文献资料进行总结。结果:137例手术切除及术中止血均获得成功。出现术后并发症30例(21.9%),包括术后出血7例,上消化道出血4例,胆汁瘘及膈下感染各3例,肝衰8例,肝性胸腔积液5例。因术后早期大出血、上消化道出血各死亡1例,肝衰死亡2例,肺转移肺梗塞、脑及脊髓广泛转移而放弃治疗各1例,围手术期死亡率4.4%(6/137)。结论:第二肝门部肿瘤是可以安全切除的。
Objective: To summarize the experience of resection of the second hilar tumor. Methods: The clinical data of 137 patients with second hilar tumors treated surgically were analyzed retrospectively, and were summarized in the literature. Results: 137 cases of surgical resection and intraoperative hemostasis were successful. Postoperative complications occurred in 30 cases (21.9%), including 7 cases of postoperative bleeding, 4 cases of upper gastrointestinal bleeding, 3 cases of bile fistula and subphrenic infection, 8 cases of liver failure and 5 cases of hepatic pleural effusion. 1 case died of upper gastrointestinal bleeding, 2 died of liver failure, 1 case of lung metastasis of pulmonary infarction and extensive metastasis of brain and spinal cord. The perioperative mortality rate was 4.4% (6/137) . Conclusion: The second hilar tumor is resectable safely.