摘要
对13例有门静脉汇合部及主干癌栓和2例有肝后段下腔静脉癌栓的肝癌施行肝叶切除,并在入肝血流阻断或全肝血流阻断下清除了门静脉、下腔静脉癌栓。6例于门静脉和(或)肝动脉置管化疗。全组无手术死亡,手术后半年、1年、2年的生存率分别为80%、40%、13%,延长了病人生存期。作者对癌栓摘除的病理基础、适应证、手术方法及意义进行了讨论。
From January 1985 to June 1996, hepatectomy and tumorthrombectomy were performed under transient blockage of hepatic blood inflow or complete blockage of hepatic blood flow on 13 cases of primary hepatic cancer with tumor thrombi at the confluence and trunk of the portal vein, and another 2 cases with tumor thrombus in the posterior segment of inferior vena cava.Six cases received transcatheteral chemotherapy. There was no operative mortality. The postoperative 1/2, 1, 2year survival rates were 80%,40%,13% respectively with prolonged survival. The pathological basis of tumorthrombectomy, indications and operative procedure were discussed.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1998年第7期511-513,共3页
Chinese Journal of Clinical Oncology
关键词
肝肿瘤
肝切除术
门静脉癌栓
下腔静脉癌栓
Liver cancer Hepatectomy Tumorthrombi Portal veinInferior vena cava