肝尾区肿瘤的现代外科治疗

The modern surgical treatment of liver tumor in caudate lobe

目的总结肝尾区肿瘤的现代外科治疗经验。方法对1989-2003年收治的9例肝尾区肿瘤病人的治疗情况进行回顾性分析。结果除1例晚期肝癌行肝移植术外,其余7例均接受肝尾区肿瘤切除术,全部病例手术及术后恢复顺利。6例肝癌病人中,2例分别于术后10个月、17个月死亡,1例术后24个月失访,另3例术后3、15、99个月仍健在。3例良性肝占位病人术前均曾误诊为肝癌,及时手术方才明确诊断。结论剖腹探查是明确肝尾区肿瘤诊断和避免误诊的最佳方法,肝移植、肝尾区切除等现代外科治疗手段给肝尾区肿瘤病人带来了新的希望,积极治疗、慎重对待、合理术中处理及术后综合治疗是肝尾区肿瘤治疗的基本原则及取得成功的主要经验。

Objective To sumup the experiences of modern surgical treatment for liver tumor in caudate lobe. Methods The treatment situations for 9 Cases patients with liver tumor in caudate lobe were analysed . Results one case was treated by liver transplantation, 8 cases were treated by resection of caudate lobe. all cases have a successful course during and after operation. Coneclusion The modern surgical treatment ways(including the liver transplantation, the resection of caudate lobe, and et al)give a new hope for patients with liver tumor in caudate lobe.