老年人肝癌的外科手术风险因素分析

The Recurrence Risk Factors of Aged Liver Cancer Were Analyzed

目的探讨老年人肝癌的外科手术风险因素。方法回顾性分析经手术切除的48例老年肝癌。其中肝Ⅴ、Ⅵ段切除3例,Ⅵ段切除3例,右半肝局切14例,左半肝规则性切除3例,左外叶切除12例,左半肝局切7例,左右肝叶局切6例。结果6个月、1、2、3年生存率分别为86.1%,63.9%,41.7%,27.8%。结论降低老年人肝癌外科手术风险的关键是严格掌握手术适应症,注重手术技巧及加强围手术期处理。

Objective To explore the risk factors for the surgical treatment of aged liver cancer. Methods The clinical data of 48 patients with aged liver cancer treated in our hospital were retrospectively analyzed. In the series, 3 cases of the disease were performed the Ⅴ,Ⅵ section tumor resection,the Ⅵ section of 3 cases,the right liver of 14 cases,the lift liver of 3 cases,the lift lobos hepatic of 12,the lift liver section of 7,the lift and right liver section of 6.Results 6 months and 1,3,5 years survival rates of post-operation were 86.1%,63.9%,41.7%,27.8% respectively.Conclusious The key of to reduce the risk factors for the surgical treatment of aged liver cancer is that careful selection indications and strengthening perioperative management.