精准肝切除在原发性肝癌中的临床应用研究

摘要

目的：探讨精准肝切除术对原发性肝癌患者的疗效。方法：回顾性分析2010年10月-2015年1月本院行肝叶切除治疗的35例原发性肝癌患者的临床资料。结果：患者手术时间（178±21.5）min，术中出血量（254±24.7）mL，住院时间（15.1±5.4）d。术后1例患者出现切口感染，胸腔积液6例，胆漏3例，经对症治疗后治愈，随访1~24个月，肿瘤复发4例。结论：精准肝切除是治疗原发性肝癌一种有效的方法，达到手术安全性、治疗有效性以及干预微创化的统一，术后并发症发生率低，结石复发率低，值得临床推广应用。%Objective:To explore the clinical effects of precision hepatectomy in primary carcinoma of liver.Method:A total of 35 cases of primary carcinoma of liver undergoing hepatectomy from October 2010 to January 2015 were reviewed retrospectively.Result:Operative time was (178±21.5)min,blood loss was (254±24.7)mL, hospital stay was (15.1±5.4)d,among the patients,1 case infection of the wound,6 case pleural effusion,3 cases bile leakage,all patients were cured.The time following-up activities was 1-24 months, 4 cases recurrence.Conclusion:Precise hepatectomy is an effective treatment for primary carcinoma of liver with a low rate of complications and recurrence,it worthy of clinical application.