【摘要】 目的 探讨高龄小肝癌患者的手术治疗的适应证、围手术期处理和疗效。方法 对22例70岁以上高龄小肝癌患者进行了手术治疗，年龄70～82岁，平均73.5岁，最大82岁。90.9%(20/22)患者合并肝硬化，59.1%(13/22)合并其他脏器慢性疾患，其中高血压6例，糖尿病5例，冠心病2例，慢性支气管炎2例；同时合并多种疾病2例。手术方式：肝右后叶切除3例，右肝下段切除4例，肝左外叶切除6例，肝部分切除9例。结果 全组无手术死亡病例，术后无严重并发症发生；术后1、3、5年生存率为90.9%、76.9%、60.0%。结论 手术切除仍是高龄小肝癌患者的重要治疗方法，但应严格掌握适应证；积极、合理的围手术处理是手术成功的关键。

    【关键词】 小肝癌；治疗；高龄

    【Abstract】 Objective To investigate the indication and efficacy and pre-,intra- and post-operative treatment of surgery resection in small liver cancer in the elderly.Methods Twenty-two cases of resection were performed in elderly small liver cancer patients.Their age ranged from 70 to 82 years with a mean of 73.5. Of all the patients,90.9% 20/22) also had liver cirrhosis and 59.1% (13/22) had concomitant chronic disorders of other organs.Of them,6 had hypertention,5 diabetes mellitus,2 coronary heart disease,2 chronic bronchitis and 2 concomitant variety.The resection mode included right lateral hepatectomy(n=3),Ⅴ+Ⅵ segmentectomy(n=4),left lateral hepatectomy(n=6) and local resection(n=9).Results No deaths occurred as a result of surgery and there were no severe complications after surgery.The 1-year,3-year and 5-year survival rates after surgery were 90.9%,76.9%,and 60.0%,respectively.Conclusion Surgical resection is still the important treatment of choice,but its indication should be strictly followed.Positive and reasonable pre-,intra- and post- operative sreatment is the key to successful surgery. ......