Tarasik Aliaksandr, Jaroszewicz Jerzy, Januszkiewicz Marcin
Oncological Surgery Ward, Bialystok Oncology Centre, Bialystok, Poland.
Department of Infectious Diseases and Hepatology, Medical University in Bialystok, Bialystok, Poland.
Clin Exp Hepatol. 2017 Mar;3(1):1-8. doi: 10.5114/ceh.2017.65498. Epub 2017 Jan 30.
Despite advances, the treatment of focal liver lesions is still challenging. It requires the experience of a surgeon, improvement of existing and the development of new techniques. The aim of this article is to present a literature review and summarize our experience in liver surgery. Twenty-one patients with various liver tumors were treated in 2015 at the Department of Surgical Oncology of Bialystok Center for Oncology. Mostly patients were diagnosed with colorectal cancer liver metastases or hepatocellular carcinoma. Nine anatomical, 6 non-anatomical resections and 6 radiofrequency ablations were performed. Among 9 resections, 6 bisegmentectomies, resection of the 4b segment, and left-side and right-side hemihepatectomy were performed. Resections were associated only with minor postoperative complications. No perioperative mortality was noted. Preliminary outcomes of resections and radiofrequency ablations of liver lesions even in a low volume surgical center are promising and are associated with a relatively low rate of complications.
尽管取得了进展，但局灶性肝病变的治疗仍然具有挑战性。这需要外科医生的经验、现有技术的改进以及新技术的开发。本文的目的是进行文献综述并总结我们在肝脏手术方面的经验。2015年，比亚韦斯托克肿瘤中心外科肿瘤学部门治疗了21例患有各种肝脏肿瘤的患者。大多数患者被诊断为结直肠癌肝转移或肝细胞癌。进行了9例解剖性切除、6例非解剖性切除和6例射频消融术。在9例切除术中，进行了6例双段切除术、4b段切除术以及左右半肝切除术。切除术后仅出现轻微的术后并发症。未观察到围手术期死亡。即使在手术量较少的外科中心，肝脏病变切除和射频消融的初步结果也很有前景，且并发症发生率相对较低。
