精准肝切除在原发性肝癌合并门静脉癌栓中的应用
何坤;胡泽民;余元龙;阮嘉后;周载平;黄锐钦
【期刊名称】《中华普通外科学文献（电子版）》 【年(卷),期】2017(011)001
【摘要】Objective To investigate the application value of precise hepatectomy in primary liver cancer with portal vein tumor thrombi.Methods Clinical data of ten patients were analyzed retrospectively of liver cancer combined with portal vein tumor thrombi undergoing precise hepatectomy in Zhongshan City People's Hospital between January 2013 and August 2014. The operation time, intraoperative hemorrhage volume, postoperative complications, postoperative length of hospital stay and follow-up data were recorded. Results Hepatectomy was performed successfully in all patients. The incisional margins were detected as negative after tumor resection. No patients died during the perioperative period. The mean operation time was (292±45) min, intraoperative hemorrhage volume was (365±81) ml, postoperative length of hospital stay was (13±3) d. Two cases of pleural effusion postoperatively were cured by conservative treatment. Two patients suffered from tumor recurrence 4 months and 5 months after surgery respectively and died, and the rest recovered well. Conclusion The application of precise hepatectomy in primary liver cancer with portal vein tumor thrombi is safe and effective, with advantages of less
精准肝切除在原发性肝癌合并门静脉癌栓中的应用
