[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.
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.
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。
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