手术治疗原发性肝癌80例临床分析

目的:探讨手术治疗原发性肝癌的临床疗效。方法:2000年1月～2005年3月经手术治疗原发性肝癌患者80例,对资料进行回顾性分析,其中胆管癌栓切除1例,肝癌复发再切除24例,同期肝叶切除并脾切除6例,累及下腔静脉肝癌的切除29例,肝尾叶全切除12例,第Ⅶ、Ⅷ肝段切除9例。结果:80例患者术后6～11年,术后5年生存22例,5年生存率27.5%,发生并发症10例,并发症发生率为12.5%。肝癌复发再切除24例中,术后5年生存3例,5年生存率12.5%。结论:手术治疗仍是肝癌治疗的主要治疗方案,临床疗效还有待于进一步提高。

Objective：To evaluate the surgical treatment of primary liver cancer clinical efficacy. Methods： collected in our hospital from January 2000 to March 2005 period, 80 cases of surgical treatment of primary liver cancer were retrospectively analyzed, in which removal of bile duct plug in 1 case, resection of liver cancer recurrence in 24 cases,and over the same period hepatectomy splenectomy in 6 cases,involving the inferior vena cava resection of liver cancer 29 cases of caudate lobe resection in 12 cases, section Ⅶ、Ⅷ liver resection in 9 cases. Results ：80 patients after 6 to 11 years, after 5 - year survival in 22 cases, 5 - year survival rate was 27. 5%, Complications occurred in 10 cases, the complication rate was 12. 5%. liver resection of 24 cases, recurrence, survival after 5 years in 3 cases, 5 - year survival rate 12.5%. Conclusion： Surgical treatment is still the main treatment for liver cancer treatment options, clinical efficacy has yet to be further improved.