肝脏移植治疗肝细胞癌(附三例报告)

Treatment of hepatocellular carcinoma by orthotopic liver transplantation:Report of 3 cases

目的 探讨肝脏移植治疗肝细胞癌的治疗选择。方法 回顾性分析 3例因肝细胞癌接受肝脏移植病人的临床资料。结果 3例手术均获得成功。 2例晚期肝癌者术后生活质量明显提高 ,其中 ,1例术后 15月死于多器官功能衰竭 ,另 1例术后 17月死于脑转移。 1例早期肝癌者术后 3月恢复工作 ,现在随访中。结论 肝脏移植术可以提高晚期肝癌病人的生活质量并延长生存期 ,经典原位肝脏移植术可以作为晚期肝癌的治疗选择。

Objective To sum up the treatment experiences of orthotopic liver transplantation for patients with hepatocellular carcinoma.Methods The clinical data of 3 patients with hepatocellular carcinoma receiving orthotopic liver transplantation were analyzed.Results The operations of 3 cases were successful.In 2 cases of late hepatocellular carcinoma,the quality of life after operation was significantly improved.Of them,one case died of failure in 15 months after operation and another died of metastasis in 17 months.Conclusion Orthotopic liver transplantation can improve the quality of life after operation and prolong survival time,and can be chosen to treat late hepatocellular carcinoma.