肝癌肝移植术后复发转移的防治与评估

Prevention and evaluation of tumor recurrence and metastasis after liver transplantation for hepatocellular carcinoma

肝移植是根治原发性肝癌的重要方法，但术后高复发转移率严重影响了其治疗效果。其中肝外转移以肺转移最为多见。目前仍缺少行之有效的预防术后复发、转移的手段。因而，如何防止肝癌肝移植术后肿瘤复转移具有重要的意义。本文从移植前、移植中、移植后三个方面论述了肝癌肝移植术后复发转移的防治与评估。

Liver transplantation is an important clinical treatment for primary liver cancer, but the high rate of recurrence and metastasis has a serious impact on the efficacy of HCC treatment, among which extrahepatic metastasis is the most common. Up to now, there is still lack of effective methods to prevent postoperative recurrence and metastasis. Therefore, how to prevent the recurrence and metastasis of liver cancer after liver transplantation is of great significance. This paper summarized the prevention and evaluation of recurrent lung metastasis after liver transplantation for liver cancer from three aspects： before transplantation, among transplantation and after transplantation.