复发性肝癌的治疗选择

Treatment options of postoperative recurrence of hepatocellular carcinoma

肝癌的复发与转移一直是影响肝癌远期疗效的重要因素,是困扰着肝胆外科医生的难题。过去十几年来,人们在肝癌复发和转移的预防、监测及治疗方面做个大量的工作,并取得一定的成果。选择合理的治疗方案是获得好疗效的关键;目前认为,肝切除术和肝移植术仍是复发性肝癌的最佳治疗方法,对于不能手术切除的肝癌复发患者,射频消融等局部治疗措施是延长患者生存的有效方法。然而,对于复发性肝癌的治疗,重视复发的危险因素,加强术后随访,早期发现、早期诊断及治疗才是获得最佳疗效的有效途径。

Recurrence and metastasis is an important factor affecting long-term survival of patients with hepatocellular carcinoma （HCC）. It is a particularly difficult problem for the hepatobiliary surgeon. Over the past ten years, people do a lot of work in the prevention, monitoring and treatment of recurrent HCC, and achieved certain results. Choose the right treatment for recurrent HCC is the key to good effect, and now that liver resection （LR） and liver transplantation （LT） is still the best treatment, and for patients with unresectable recurrent HCC, radiofrequency ablation （RFA） and other local treatment is an effective way to extend the survival of patients. However, for the treatment of recurrent HCC, pay attention to risk factors for recurrence, postoperative follow-up of patients, early detection, early diagnosis and treatment is the key to improve survival rates.