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目的 探讨肝癌术后复发再切除的指征及术式。方法 收集 2 4例复发性肝癌再切除临床资料 ,分析肝癌复发后再切除时的指征及合理术式。结果 本组共 2 4例肝癌复发再切除无 1例出现术后肝功能衰竭、术后大出血及腹腔感染 ,无手术死亡。住院时间 14～ 4 5天 ,均治愈或好转出院。复发术后平均生存时间为 2 8个月。结论 复发性肝癌再手术应全面评估患者手术耐受力 ,手术切除仍是肝癌复发的首选治疗方法 ,合理掌握手术指征和选择适当术式可明显延长患者术后生存时间
Objective To explore the indications and surgical procedures for recurrence after liver cancer recurrence. Methods The clinical data of 24 patients with recurrent hepatocellular carcinoma were collected, and the indications and reasonable surgical methods were analyzed after recurrence of liver cancer. Results A total of 24 patients with recurrence and recurrence of liver cancer in this group had no postoperative liver failure, postoperative massive hemorrhage, and abdominal infection. No operative death occurred. The hospitalization time was 14 to 45 days, all cured or improved. The average survival time after relapse was 28 months. Conclusion Reoperation of recurrent liver cancer should be fully evaluated in patients with surgical tolerance. Surgical resection is still the first choice for treatment of liver cancer recurrence. Reasonable control of surgical indications and selection of appropriate surgical procedures can significantly prolong the survival time of patients.