摘要
报道90例复发性肝癌的外科治疗，讨论了肝癌复发的机理及影响因素。认为肝癌术后复发的早期诊断有赖于术后AFP的监测及B超的定期复查，肝切除术仍是复发性肝癌的首选治疗，术中无水酒精注射和肝动脉插管栓塞化疗是提高肝癌术后长期生存的途径。
Ninety cases of surgically treated recurrent hepatocellular carcinoma is reported with analysis of the machanism of recurrence and factors affecting tumor recurrence. Early detection of recurrence depends of AFP measurements and ultrasonography follow-uP monitoring after resection. Hepatec resection is the first choice of areatment whenever it is feasible. Intratumor ethanol injection and transcatheter arterial chemo-embolization during operation has been beneficial in some patients with unresectable recurrent hepatocellular carcinoma. These results suggest that reoperation for recurrent hepatocellular carcinoma may be an approach to improve the long-term survival after hapatic resection.
关键词
复发性
肝癌
外科手术
Recurrent hepatocellular carcinoma Surgical treatment
