论文部分内容阅读
目的探讨急诊肝切除术治疗肝癌自发性破裂的适应证和疗效。方法回顾性分析12例肝癌自发性破裂患者行急诊肝切除术的临床资料。结果急诊肝切除术12例,术后并发症发生率25%(3/12)。术后均行TAE等综合治疗,1、3a生存率分别为75%、41.67%。结论术前综合评估,适当从严掌握手术适应证及完善的围手术期处理是行急诊肝切除术获得成功的重要依据,急诊左半肝肝切除术或左肝外叶切除术治疗肝癌自发性破裂可能获得良好预后。
Objective To investigate the indications and curative effects of emergency hepatectomy for the treatment of spontaneous rupture of liver cancer. Methods The clinical data of 12 patients with spontaneous rupture of liver cancer who underwent emergency hepatectomy were analyzed retrospectively. Results There were 12 cases undergoing emergency hepatectomy and the incidence of postoperative complications was 25% (3/12). Postoperative TAE and other comprehensive treatment, 1,3-year survival rates were 75%, 41.67%. Conclusions Comprehensive preoperative evaluation, proper and strict control of surgical indications and perioperative perioperative management is an important basis for the success of emergency hepatectomy. Emergency left hepatectomy or left hepatic lobectomy for the treatment of spontaneous hepatocellular carcinoma Rupture may have a good prognosis.