原发性肝癌切除术后复发的再次肝切除术(附12例报告)

REPEAT HEPATIC RESECTION FOR RECURRENT HEPATOCELLULAR CARCINOMA AFTER PRIMARY RESECTION

报告１２例原发性肝细胞癌切除术后复发，再次行肝切除治疗的有关临床资料。作者结合自己的体会，讨论了再次手术的适应证、切口选择、手术中的困难以及手术后的治疗问题。着重指出肝癌再次手术中可能遇到的几个难点，并提出了解决这些问题的对策。

This paper reports twelve patients underwent repeat hepatic resection because of the recurrence of hepatocellular carcinomas after primary resection. The indication of reoperation,selection of incision,difficults encountered in the operation and the treatment after operation are discussed. The authors believe that the second operation is technically more difficult than the first one,some troubles my be happened during the operation and put forward some ways to deal with this situations.