31例肝内复发性肝癌的再切除治疗分析

ANALYSIS OF REPEATED HEPATIC RESECTION FOR 31 CASES WITH RECURRENT LIVER CANCER

目的 探讨肝内复发性肝癌的再切除治疗的价值。方法 对 1980年至 2 0 0 0年 31例肝内复发性肝癌的临床资料、手术方法及预后进行回顾性分析。结果 全组无手术死亡 ,术后 1、3、5年生存率分别为 93.5 %、6 9.2 %及 5 0 .1% ,二次切除后的 1、3、5年生存率分别为 82 .1%、32 .8%及 2 5 .4 % ,最长一例已无瘤生存 12年 ,而 14 0例未再手术者的 5年生存率仅 9.3% ,其中 TACE组及 PEI组的 5年生存率相似 ,分别为 12 .2 %及 14 .8%。结论 再手术切除是治疗肝内复发肝癌最有效的方法 ,对不能手术者 ,我们推荐使用

Objective To explore the value of re-resection for recurrent liver cancer.Methods From 1980 to 2000,the clinical data,operative method and prognosis from 31 cases with recurrent liver cancer were analyzed retrospectively.Results There were no operative death.The 1,3 and 5-year survival rates in the total group were 93.5%,69.2% and 50.1% respectively after first resection,and the corresponding 1,3 and 5-year survival rates after second resection were 82.1%,32.8% and 25.4% respectively.The longest one already survived 12 years free of the tumor and the 5-year survivial rate of 140 cases without re-resection was only 9.3%.The 5-year survival rates of groups TACE and PEI were similar(12.2% and 14.8% respectively).Conclusion Repeated operation was the most effective method for recurrent liver cancer.PEI could be used for the patients who can not be operated.