肝切除术治疗原发性肝癌96例临床分析

Clinical experience with hepatic resection for primary hepatic carcinoma

目的 总结肝切除术治疗原发性肝癌疗效。方法 1996年 1月— 2 0 0 1年 9月对 96例原发性肝癌行肝切除术。回顾性分析肿瘤分布、手术方式及手术疗效。效果 肝癌切除 96例 ,其中左肝癌切除 2 5例 ,右肝癌切除71例。术后出现并发症 3 0例 ,围手术期死亡 4例。 1、3年生存率分别为 87 5 %和 43 8%。

Objectives:To evaluate the effect of hepatic resection for primary hepatic carcinoma.Method: 96 patients with primary hepatic carcinoma underwent hepatic resection from January 1996 to September 2001.The results were analyzed retrospectively,including distribution of tumor,patterns of operation,effect of operation.Result: 71 patients underwent right hepatic resection and 25 patients underwent left hepatic resection.There were 30 cases with complication after operation and four mortalities occurred during peri-operation.The survived rates of one year and two years are 87.5%and 43.8%respectively.Conclusion:Surgical resection is a major procedure for the management of primary hepatic carcinoma associated with long-term survival.