规则性肝切除术治疗原发性肝癌的分析
原发性肝癌;规则性肝切除术;治疗,朱新华,仇毓东,吴亚夫,周建新,徐庆祥,丁义涛,通讯作者:,Clinicalstudyofanatomicalliverresectionforhepatocellularcarcinoma,Xin-HuaZhu,Yu-Dong
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朱新华, 仇毓东, 吴亚夫, 周建新, 徐庆祥,丁义涛, 南京大学医学院附属鼓楼医院肝胆外科 江苏省南京市 210008
朱新华, 2003-07南京大学博士研究生毕业, 主治医师, 主要从事原发性肝癌及肝脏移植的临床和基础研究工作.
通讯作者: 仇毓东, 210008, 江苏省南京市, 南京大学医学院附属鼓楼医院肝胆外科. yudongqiu510@hotmail.com
电话: 025-83304616 传真: 025-83317016
收稿日期: 2007-06-11 修回日期: 2007-10-08
Clinical study of anatomical liver resection for hepatocellular carcinoma
Xin-Hua Zhu, Yu-Dong Qiu, Ya-Fu Wu, Jian-Xin Zhou, Qing-Xiang Xu, Yi-Tao Ding
Xin-Hua Zhu, Yu-Dong Qiu, Ya-Fu Wu, Jian-Xin Zhou, Qing-Xiang Xu, Yi-Tao Ding, Department of Hepatobiliary Surgery, the Affiliated Drum Tower Hospital of Medical School of Nanjing University, Nanjing 210008, Jiangsu Province, China
Correspondence to: Yu-Dong Qiu, Department of Hepatobiliary Surgery, the Affiliated Drum Tower Hospital of Medical School of Nanjing University, Nanjing 210008, Jiangsu Province, China. yudongqiu510@hotmail.com
Received: 2007-06-11 Revised: 2007-10-08
Abstract
AIM: To evaluate the therapeutic efficacy and safety of anatomical liver resection for hepato-cellular carcinoma (HCC).
METHODS: Thirty-eight patients who underwent liver resection for HCC were randomly divided into two groups: anatomical liver resection group (n = 15) and non-anatomical liver resection group (n = 23). The amount of intraoperative bleeding and blood transfusion, time of operation, postoperative complications, liver function recovery, recurrence and survival rate were compared between the two groups.
RESULTS: No operative death was found in this study, and there was no significant difference in the amount of intraoperative bleeding, postoperative complication and hospital-stay between the two groups. The rate of satisfactory resection margin (> 2 cm) was higher in anatomical resection group, and the recurrent rate during one year was decreased significantly. Anatomic resection could also elevate the tumor-free one-year survival rate ......
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