超声乳化吸引刀切除术治疗原发性肝癌合并肝硬化

Caritational ultrasonic surgical aspirator resection (CUSA) in the treatment of primary hepatocelluler carcinoma complicated with hepatocirrhosis

目的探讨原发性肝癌合并肝硬化手术切除方法及疗效。方法回顾性分析2006-02～2008-12超声乳化吸引刀(CUSA)切除的原发性肝癌合并肝硬化32例资料。结果全组患者均不需阻断肝门血流,断肝时间40～75min,断面处理时间10～20min,出血量50～260ml;术后彩色超声多普勒监测余肝管道系统正常;术后肝功能恢复时间平均约1周。结论原发性肝癌合并肝硬化采用CUSA切除安全、可行。

Objective To explore surgical resection and evaluate its clinical value for hepatocellular carcinoma with hepatocirrhosis. Method The data of 32 cases of hepatocellular carcinoma complicated with hepatocirrhosis subjected to （CUSA） from February 2006 to December 2008 was retrospectively analyzed. Result All of the patients were without blocking hepatic portal blood flow. The time for severing liver was 40-75 min, and the time for processing the section was 10-20 min. The volume of bleeding was 50-260 ml. The remnant hepatic duct were normal showed with the postoperative monitoring of color Doppler ultrasound. The average recovery time of postoperative hepatic function was about one week. Conclusion Application of CUSA in the resection for primary hepatocellular carcinoma complicated with cirrhosis is safe and feasible.