广泛肝切除时要考虑手术并发症和死亡率以及残留肝组织的储备功能.为此,作者从瑞典Bern大学内脏和移植外科所施行的214例肝切除手术中挑选可供分析的73例肝癌切除手术,比较了广泛和非广泛切除方法的结果.女性37例,男性36例;年龄55±15岁(6～73岁).切除报征为结直肠癌的转移性肝癌29例、原发性肝细胞癌17例、胆管癌10例、混合型肝细胞胆管癌2例、其他转移性癌11例和良性病变4例.33例行广泛肝切除术,计右侧广泛切除(Ⅳ～Ⅷ段,有时加Ⅰ段)26例,左侧广泛切除(Ⅱ～Ⅴ段、Ⅷ段,有时加Ⅰ段)7例.40例行非广泛肝切除, The surgical complications and mortality and the reserve function of residual liver tissue should be considered in extensive hepatectomy. For this reason, the authors selected 73 cases of hepatoma resection that could be analyzed from 214 hepatic resections performed by the Visceral and Transplant Surgery at the University of Bern in Sweden. The surgery compared the results of extensive and non-extensive resection methods. There were 37 females and 36 males; the age was 55±15 years (range, 6-73 years). 29 cases of metastatic hepatocellular carcinoma with recurrence were identified as primary colorectal cancer. There were 17 hepatocellular carcinomas, 10 cholangiocarcinomas, 2 mixed hepatocellular cholangiocarcinomas, 11 other metastatic carcinomas, and 4 benign lesions. 33 patients underwent extensive hepatectomy with a wide right-sided resection (IV to VIII) , sometimes I plus paragraph 26), left extensive resection (II ~ V, VIII, sometimes I plus paragraph) in 7 cases. 40 cases of non-extensive liver resection,