Gozzetti G, Mazziotti A, Cavallari A, Bellusci R, Bolondi L, Grigioni W, Grazi G L
Int Surg. 1987 Apr-Jun;72(2):82-6.
A liver resection was performed in 25 out of 36 cirrhotic patients operated on for liver cell carcinomas. In the remaining 11 cases hepatectomy was not performed mainly because of the presence of other intrahepatic neoplastic nodules or thrombi in the portal branches revealed by intraoperative echography. The operative mortality in the 25 patients operated on was 16%; the actuarial survival at three years is 58%. Liver resection was carried out using a transparenchymal procedure; in 18 cases clamping of the hepatic pedicle was performed for an average period of 15 min. Twenty patients with small tumours had a segmentary or sub-segmentary resection; intraoperative echography proved indispensable in this situation, making it possible to recognize the lesion and outline the limits of the resection. The presence of a peritumoral capsule seems to have been an important prognostic factor.
36例因肝细胞癌接受手术的肝硬化患者中，25例行肝切除术。其余11例未行肝切除术，主要原因是术中超声检查发现存在其他肝内肿瘤结节或门静脉分支血栓。25例接受手术患者的手术死亡率为16%；三年精算生存率为58%。采用经实质入路进行肝切除术；18例患者进行了肝蒂阻断，平均阻断时间为15分钟。20例小肿瘤患者行节段性或亚节段性切除术；术中超声检查在这种情况下被证明是必不可少的，它能够识别病变并勾勒出切除范围。肿瘤周围包膜的存在似乎是一个重要的预后因素。
