[恶性肝肿瘤的外科治疗]

[The surgical treatment of malignant liver tumors].

作者信息

Patiutko Iu I, Panakhov D M, Lagoshnyĭ A T, Kotel'nikov A G

出版信息

Khirurgiia (Mosk). 1992 Mar(3):52-5.

Abstract

From study of the data concerning 133 patients who underwent operation for tumor of the liver the authors found that 43 (32.2%) patients were treated by a radical operation and 34 (25.5%) were subjected to palliative interventions. Among the radical interventions hemihepatectomy was performed on 21 (48.8%) patients. The total number of complications after radical operations was 46.3%, the mortality rate 11.6%. The authors discuss problems of the prevention of some complications, intraoperative hemorrhages in the first place. Different variants of bile diversion accounted for most of the palliative interventions. Survival in radical operations was 38.56 months, in palliative operations 8.34 months, and in exploratory operations 5.9 months.

摘要

通过对133例接受肝脏肿瘤手术患者的数据研究，作者发现43例（32.2%）患者接受了根治性手术，34例（25.5%）接受了姑息性干预。在根治性手术中，21例（48.8%）患者进行了半肝切除术。根治性手术后并发症总数为46.3%，死亡率为11.6%。作者讨论了一些并发症的预防问题，首先是术中出血。大多数姑息性干预采用了不同的胆汁转流方式。根治性手术患者的生存期为38.56个月，姑息性手术患者为8.34个月，探查性手术患者为5.9个月。