Chen H, Wu M C
Proc Chin Acad Med Sci Peking Union Med Coll. 1989;4(2):68-71.
From January 1960 to June 1987, 41 cases underwent reoperation for relapse of liver cancer. Hepatectomy was performed twice in 39 cases, three and four times each in one case. The 1,3 and 5-year survival rates after the first operation were 100%, 69.58% and 54.68% respectively, while those after the second operation were 75.0%, 34.62% and 34.62% respectively. The preliminary results of rehepatectomy are thus encouraging. The indicators for reintervention, types of operation, prophylactic measures against tumor recurrence and metastases, and evaluation of rehapatectomy are discussed.
1960年1月至1987年6月,41例肝癌复发患者接受了再次手术。39例行两次肝切除术,1例分别行三次和四次肝切除术。首次手术后1年、3年和5年生存率分别为100%、69.58%和54.68%,而第二次手术后分别为75.0%、34.62%和34.62%。因此,再次肝切除术的初步结果令人鼓舞。本文讨论了再次手术干预的指标、手术方式、预防肿瘤复发和转移的措施以及再次肝切除术的评估。