精准肝切除在原发性肝癌中的临床应用研究

Application of Precision Hepatectomy in Primary Carcinoma of Liver

目的：探讨精准肝切除术对原发性肝癌患者的疗效。方法：回顾性分析2010年10月-2015年1月本院行肝叶切除治疗的35例原发性肝癌患者的临床资料。结果：患者手术时间（178±21.5）min,术中出血量（254±24.7）m L,住院时间（15.1±5.4）d。术后1例患者出现切口感染,胸腔积液6例,胆漏3例,经对症治疗后治愈,随访1~24个月,肿瘤复发4例。结论：精准肝切除是治疗原发性肝癌一种有效的方法,达到手术安全性、治疗有效性以及干预微创化的统一,术后并发症发生率低,结石复发率低,值得临床推广应用。

Objective：To explore the clinical effects of precision hepatectomy in primary carcinoma of liver.Method：A total of 35 cases of primary carcinoma of liver undergoing hepatectomy from October 2010 to January 2015 were reviewed retrospectively.Result：Operative time was（178±21.5）min,blood loss was（254±24.7）m L, hospital stay was（15.1±5.4）d,among the patients,1 case infection of the wound,6 case pleural effusion,3 cases bile leakage,all patients were cured.The time following-up activities was 1-24 months,4 cases recurrence.Conclusion：Precise hepatectomy is an effective treatment for primary carcinoma of liver with a low rate of complications and recurrence,it worthy of clinical application.