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Ⅳ A期肝癌的分期手术治疗

Treatment of stage Ⅳ A liver cancer by two-step hepatectomy
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摘要 6例ⅣA期肝癌行一期手术姑息性切除肝内主要病灶,术后15~25天行二期肝动脉栓塞化疗,每月1次,术后3~4个月行三期再次手术切除肝内病灶,此后每3个月1次行肝动脉栓塞化疗。结果:3例死亡,生存期分别为340天、750天和855天。3例仍存活,生存期分别为812天、903天和910天。6例患者的平均生存期大于761.7士215.0天,2年生存率为83.3%。表明晚期肝癌患者的分期手术治疗是可行的,可提高患者的2年生存率。 Six patients with stage Ⅳ A liver cancer treated with two-step operative therapy. Palliative operation was performed to resect the main intrahepatic lesions at the first time. 15~25 days after surgery, transarterial chemoemblization was used every month. Radical operation was performed to resect intrahepatic residual lesions 3~4 month after palliative resection. result:Three patients died on the postoperative day 340, 750 and 855 respectively.The remaining 3 patients were still alive and the survival time was 812, 903 and 910 days respectively. The average suryival time of 6 patients was 761. 7±215. 0 days and 2 -year survival rate was 83. 3%. These results indicated that two-step operation could be considered as an useful therapy and the 2-yera survival rate of the patient with late liver cancer could be increased
出处 《肝胆外科杂志》 1997年第1期19-20,共2页 Journal of Hepatobiliary Surgery
关键词 肝癌 ⅣA期 分期切除术 切除术 Liver cancer Stage Ⅳ A Treatment Two-step resection
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