Cady B, Bonneval M, Fender H R
Am J Surg. 1979 Apr;137(4):514-21. doi: 10.1016/0002-9610(79)90123-5.
Significant salvage of patients with a wide variety of cysts and benign tumors of the liver and of some patients with biliary strictures can be achieved by hepatic resection in carefully selected clinical situations with a low operative mortality rate and an acceptable postoperative complication rate. Still to be determined is the role of hepatic resection in metastatic carcinoma and sarcoma of the liver, where survival is modest but measurable, but important palliation can be achieved. Hepatomas should be resected when possible, but hepatic resection for aid in resection of bile duct carcinoma has proved generally unrewarding.
在精心挑选的临床情况下,通过肝切除术可显著挽救患有各种肝囊肿、肝良性肿瘤的患者以及部分胆管狭窄患者,手术死亡率低,术后并发症发生率也在可接受范围内。肝切除术在肝转移癌和肉瘤中的作用仍有待确定,此类患者的生存期虽短但可衡量,不过可实现重要的姑息治疗效果。肝癌应尽可能进行切除,但事实证明,通过肝切除术辅助胆管癌切除总体效果不佳。