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[尾状叶原发性肝细胞癌的外科治疗]

[Surgical treatment of hepatocellular carcinoma originating from caudate lobe].

作者信息

Peng Shu-you, Feng Xue-dong, Liu Yin-bin, Qian Hao-ran, Li Jiang-tao, Wang Jian-wei, Xu Bin, Fang He-qing, Cao Li-ping, Shen Hong-wei, Du Jian-jun, Cai Xiu-jun, Mu Yi-ping

机构信息

Department of Surgery, Second Affiliated Hospital, Medical School of Zhejiang University, Hangzhou 310009, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2005 Jan 1;43(1):49-52.

PMID:15774174
Abstract

OBJECTIVE

To explore the significance of surgical treatment of HCC originating from caudate lobe.

METHODS

From 1995 to 2003, caudate lobectomy, including 19 cases of isolated lobectomy and 20 cases of combined lobectomy, were performed in 39 patients with HCC originating from caudate lobe, and the factors that might influence postoperative liver function were compared between the two groups.

RESULTS

All tumors were resected successfully. One patient died of postoperative renal failure. Hydrothorax occurred in 3 patients, ascites in 4 patients, and bile leakage in 1 patient. The survival rates of 1, 3, 5 year were 53%, 50%, 39% respectively.

CONCLUSIONS

Caudate lobectomy is a effective method for HCC originating from caudate lobe.

摘要

目的

探讨尾状叶来源的肝癌手术治疗的意义。

方法

1995年至2003年,对39例尾状叶来源的肝癌患者施行尾状叶切除术,其中单纯尾状叶切除术19例,联合肝叶切除术20例,并比较两组可能影响术后肝功能的因素。

结果

所有肿瘤均成功切除。1例患者死于术后肾衰竭。3例发生胸腔积液,4例发生腹水,1例发生胆漏。1年、3年、5年生存率分别为53%、50%、39%。

结论

尾状叶切除术是治疗尾状叶来源肝癌的有效方法。

相似文献

1
[Surgical treatment of hepatocellular carcinoma originating from caudate lobe].[尾状叶原发性肝细胞癌的外科治疗]
Zhonghua Wai Ke Za Zhi. 2005 Jan 1;43(1):49-52.
2
Surgical outcome of patients with hepatocellular carcinoma originating in the caudate lobe.源自尾状叶的肝细胞癌患者的手术结果。
Am J Surg. 2005 Sep;190(3):451-5. doi: 10.1016/j.amjsurg.2004.12.005.
3
Complete resection of the caudate lobe of the liver with tumor: technique and experience.完整切除肝尾状叶肿瘤:技术与经验
Hepatogastroenterology. 2001 May-Jun;48(39):808-11.
4
Surgical strategy for hepatocellular carcinoma originating in the caudate lobe.起源于尾状叶的肝细胞癌的手术策略。
Surgery. 2004 Jun;135(6):595-603. doi: 10.1016/j.surg.2003.10.015.
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Minute hepatocellular carcinoma originating in the caudate lobe with a long-term surviving of 9 years 6 months after surgical resection: a case report.起源于尾状叶的微小肝细胞癌,手术切除后长期存活9年6个月:一例报告
Hepatogastroenterology. 1996 Jul-Aug;43(10):1062-6.
6
Caudate lobe resection for hepatocellular carcinoma.肝细胞癌的尾状叶切除术
Hepatogastroenterology. 2011 Nov-Dec;58(112):1904-8. doi: 10.5754/hge11324.
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Prognosis of patients undergoing hepatectomy for solitary hepatocellular carcinoma originating in the caudate lobe.尾状叶单发肝细胞癌行肝切除术患者的预后。
Surgery. 2011 Nov;150(5):959-67. doi: 10.1016/j.surg.2011.03.005. Epub 2011 Jul 23.
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[Hepatic resection for a single hepatocellular carcinoma in the caudate lobe].[肝尾状叶单发性肝细胞癌的肝切除术]
Gan To Kagaku Ryoho. 2007 Nov;34(12):2090-2.
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Segmental liver resections, present and future-caudate lobe resection for liver tumors.肝段切除术的现状与未来——肝尾状叶肿瘤切除术
Hepatogastroenterology. 1998 Jan-Feb;45(19):20-3.
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Percutaneous radiofrequency ablation for the treatment of hepatocellular carcinoma in the caudate lobe.经皮射频消融治疗尾状叶肝细胞癌
Eur J Surg Oncol. 2008 Feb;34(2):166-72. doi: 10.1016/j.ejso.2007.08.004. Epub 2007 Sep 11.

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Comput Math Methods Med. 2015;2015:846942. doi: 10.1155/2015/846942. Epub 2015 Oct 12.
2
Prognostic factors in the surgical treatment of caudate lobe hepatocellular carcinoma.尾状叶肝细胞癌手术治疗的预后因素。
World J Gastroenterol. 2010 Mar 7;16(9):1123-8. doi: 10.3748/wjg.v16.i9.1123.