原发性肝癌合并门静脉癌栓的围手术期处理

Perioperative managements of the Primary Hepatic Carcinoma Patients with Portal Vein Tumor Thrombus.

目的:探讨原发性肝癌(PHC)合并门静脉癌栓(PVTT)的围手术期处理方法。方法:对手术治疗的60例PHC合并PVTY患者的临床资料进行回顾性分析。结果:60例患者全部安全度过围手术期,无严重并发症发生。结论:详细的术前影像学和肝功能评估,术中轻柔、精确的手术操作,围手术期的肝功能监测和保肝治疗是患者安全度过手术危险期的关键。

Objective： To explore the perioperative managements of the primary hepatic carcinoma （PHC） patients with portal vein tumor thrombus （PVTY） . Methods： Made a retrospective analysis of the clinical information of 60 PHC patients with PVTT. Results： 60 patients passed the dangerous period and no serious complications occurred. Conclusion： Detailed preoperative imaging evaluation and liver function evaluation, soft operation. 1 iver function momtor and liver- protective treatment all these are the main factors for the patients to pass the dangerous period.