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目的 确定继发性肝癌肝切除的适应证、方法、安全性和有效性。方法 回顾分析 6 7例继发性肝癌行肝切除 6 9次的随访资料。结果 手术死亡 1例 (1 5 % )。其余病例分别随访 1～ 7年 ,1、3、5年的生存率为2 8 36 %、19 40 %和 11 94% ,其中大肠癌生存 >5年者 2 1 43%。结论 肝转移疾病的外科切除 ,安全有效 ,肝转移癌病人肿瘤切除后肝功能良好 ,能耐受手术者应考虑手术切除。
Objective To determine the indications, methods, safety, and effectiveness of hepatectomy for hepatocellular carcinoma. Methods Retrospective analysis of 67 follow-up data of 67 liver cancer patients undergoing hepatectomy. Results One patient (15 %) died after surgery. The remaining cases were followed up for 1 to 7 years. The survival rates at 1, 3, and 5 years were 2386%, 1940%, and 11 94%. Among them, 21% of colorectal cancer patients survived >5 years. Conclusion Surgical resection of liver metastases is safe and effective. Patients with liver metastases have good liver function after tumor resection. Those who are able to tolerate surgery should be considered for surgical resection.