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本文对我院外科自1961年1月～1980年12月收治的128例原发性肝癌手术切除病例进行疗效分析。手术切除率为27.8%,手术死亡率为4.6%,术后一至五年生存率分别为60.2%、34.7%、26.0%、22.1%、16.2%。肝硬化程度、肝切除量与手术死亡有关。对肝硬化严重患者应严格掌握肝切除指征,以降低手术死亡率.不伴肝硬化、癌灶为单中心、肿瘤包膜完整,门脉内无癌栓、癌周肝组织地衣红染色阴性者,经根治性切除术后生存期较长。在作根治性手术的原则下不放弃姑息性手术.应放宽临床Ⅰ期肝癌的探查指征,以增加肝切除的可能。
This article analyzes the efficacy of 128 cases of surgical resection of primary liver cancer treated in our hospital from January 1961 to December 1980. The surgical resection rate was 27.8% and the operative mortality rate was 4.6%. The 1- to 5-year survival rates after surgery were 60.2%, 34.7%, 26.0%, 22.1%, and 16.2%, respectively. The degree of liver cirrhosis and the amount of hepatic resection are related to the death from surgery. Severe liver cirrhosis patients should strictly control the indications of hepatectomy to reduce the operative mortality. Without cirrhosis, single focus lesions, tumor capsule intact, no portal vein thrombosis, liver cancer tissue surrounding the lichen was stained negative The survival time after radical resection is longer. Under the principle of radical surgery does not give up palliative surgery. The exploratory signs of clinical stage I liver cancer should be relaxed to increase the possibility of liver resection.