Department of Hepatopancreatobiliary Surgery, Division of Surgery, Hammersmith Hospital campus, Imperial College London, Du Cane Road, London W12 0HS, UK.
World J Gastroenterol. 2010 Feb 28;16(8):927-33. doi: 10.3748/wjg.v16.i8.927.
Primary liver cancer is amongst the commonest tumors worldwide, particularly in parts of the developing world, and is increasing in incidence. Over the past three decades, surgical hepatic resection has evolved from a high risk, resource intensive procedure with limited application, to a safe and commonly performed operation with a range of indications. This article reviews the approach to surgical resection for malignancies such as hepatocellular cancer, metastatic liver deposits and neuroendocrine tumors. Survival data after resection is also reviewed, as well as indications for curative resection.
原发性肝癌是全球最常见的肿瘤之一，特别是在发展中国家的某些地区，其发病率正在上升。在过去的三十年中，肝切除术已从一种风险高、资源密集且应用范围有限的手术演变为一种安全且广泛应用的手术，适应证也在不断扩大。本文综述了外科手术切除治疗肝细胞癌、肝转移瘤和神经内分泌肿瘤等恶性肿瘤的方法。本文还回顾了切除术后的生存数据以及根治性切除的适应证。
