Trede M, Raute M, Sturm J
Chirurg. Klinik im Klinikum Mannheim, Universität Heidelberg.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:237-41.
Over a 16-year period 54 patients presented with primary malignant liver tumours: 10 (18.5%) were considered inoperable, 44 underwent laparotomy. Nineteen (35%) turned out to be inoperable. A resection with curative intention was performed 25 times (47%) (11 right or extended right and 2 left hemihepatectomies, 12 mono- or bisegmentectomies). Hospital mortality was 8% (n = 2). The median survival time of those who died following resection was 22 months. Four patients have survived for more than 5 years, and three of them are still free of recurrence (5 year survival rate: 17% excl. hospital mortality).
在16年期间,54例患者出现原发性恶性肝肿瘤:10例(18.5%)被认为无法手术,44例接受了剖腹手术。其中19例(35%)最终无法手术。有治愈意向的切除术进行了25次(47%)(11例右半肝或扩大右半肝切除术,2例左半肝切除术,12例单段或双段肝切除术)。医院死亡率为8%(n = 2)。切除术后死亡患者的中位生存时间为22个月。4例患者存活超过5年,其中3例仍无复发(5年生存率:排除医院死亡率后为17%)。