原发性肝癌复发再切除术后恢复的观察

CLINICAL INVESTIGATION OF THE RECOVERY COURSE AFTER RESECTION OF THE POSTOPERATIVE RECURRENT PRIMARY LIVER CANCER

目的 观察原发性肝癌术后复发再切除的临床恢复过程。方法 90例原发性肝癌病人分成复发再切除组 (A组 )与第一次手术切除组 (B组 ) ,比较两组术后住院天数、胆红素及转氨酶恢复正常的天数和并发症的发生率的差别。结果 两组病人术后住院天数和并发症发生率无明显差别 ,A组胆红素与转氨酶恢复正常的天数平均分别为 8.3、9.1天 ,比 B组 1 0 .3、1 0 .8天短 ,差别具有统计学意义。结论 原发性肝癌术后复发再切除肝功能恢复优于第一次手术 ,是一种比较安全的手术方法。

Objective To investigate the course of clinical recovery after re resection in the patients suffered from postoperative recurrence of primary liver cancer. Methods 90 primary liver cancer patients were allocated to postoperative recurrence re resection group and primary resection group. Period in hospital, postoperative complications and the time during which bilirubin and ALT decrease to the normal level from the abnormal level were determined.Result the time bilirubin and ALT decreasing to the normal level was 8.3 days, 9.1 days on the average in postoperative recurrence re resection group, respectively, significant difference was observed compared with 10.3 days,10.8days in primary resection group. There was no significant difference in period in hospital and postoperative complications. Conclusion The course of clinical recover after re resection in the postoperative recurrence of primary liver cancer is superior to the primary resection and re resection is a relatively safe operation.