肝癌切除后并发症的原因及对策

The cause and countermeasure of complications after liver cancer resection

目的 :总结肝癌切除术后并发症的防治经验 ,提高手术安全性。方法 :对 10年肝癌切除术术后并发症的病例进行总结 ,对其发生的原因、处理及如何预防等进行分析和讨论。结果 :常见并发症为 :胸腔积液 (15 8% ) ,腹腔内感染 (7 6 % ) ,消化道出血 (10 5 % ) ,胆瘘 (4 7% ) ,肝功能衰竭 (5 2 % ) ,腹腔内大出血 (11 9% )。结论 :应重视肝癌切除术的适应证选择、手术操作技术和围手术期监护处理 。

Objective: To learn lessons by summarizing the experience gained in the management of complications after liver cancer resection Methods: The data of patients with liver cancer resection in our hospital were retrospectively analyses Their common causes, management and preventive measures were studied Results:The common complications were: ①hydrothorax (15 8%),②intraperitoneal infection (7 6%),③alimentary tract hemorrhage (10 5%),④biliary fistula (4 7%),⑤hepatic failure (5 2%),⑥intraperitoneal massive hemorrhage (11 9%) Conclusion: In order to ensure security after liver cancer resections, attention should be paid to the choice of appropriate surgical indications, meticulous surgical technique and perioperative care