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96例肝肿瘤患者,男40例,女56例,平均年龄55.2岁(14～81岁)。有4例因复发再次手术,共计100次肝切除术,其中7例良性瘤,93例恶性肿瘤。术后50天内死亡6例。第1例67岁男性,6周前行腹会阴切除术和左肝叶切除术。术后发生心肌梗塞。因结直肠转移癌再次行肝切除术,于术后3天死于心肌梗塞。第2例69岁男性,因胆管癌切除右侧肝叶后,发现肝左动脉严重动脉粥样硬化病灶导致肝左叶缺血。经多方努力,8小时后才重新建立动脉供血通道,病人在术后第4天死于肝功能衰竭。第3例65岁女性,肝切除术同时因类癌瘤行右结肠部份切除术。因肠系膜上部出血再次手术。术后发生肠系膜上
Of the 96 patients with liver tumors, 40 were males and 56 were females, with an average age of 55.2 years (range, 14 to 81 years). There were 4 cases of reoperation due to recurrence, a total of 100 hepatectomy, of which 7 cases of benign tumors, 93 cases of malignant tumors. Six cases died within 50 days after surgery. The first 67-year-old man received abdominal perineal resection and left hepatectomy 6 weeks ago. Myocardial infarction occurred after surgery. Hepatectomy was performed again for colorectal metastatic carcinoma and died of myocardial infarction 3 days after surgery. In the second 69-year-old male, after removal of the right hepatic lobe due to cholangiocarcinoma, a severe atherosclerotic lesion of the left hepatic artery was found to result in ischemia of the left hepatic lobe. After multiple efforts, the arterial blood supply channel was reestablished 8 hours later, and the patient died of hepatic failure on the fourth postoperative day. In the third case of a 65-year-old woman, hepatectomy was performed simultaneously with partial resection of the right colon due to carcinoid tumors. Reoperation due to upper mesenteric bleeding. Postoperative mesentery