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目的总结肝癌切除术后并发症的防治经验,提高手术安全性。方法对8年肝癌切除术术后并发症的病例进行总结,对其发生的原因、处理及如何预防等进行分析和讨论。结果常见并发症为:腹腔内大出血(5.0%),肝功能衰竭(7.1%),胸腔积液(4.8%),胆瘘(2.9%),腹腔内感染(1.2%),消化道出血(1.4%)。结论术者应在并发症发生的每一个细小环节都采取必要的预防措施,并对出现的并发症给予及时合理的处理,进一步提高肝切除术的安全性及其在肝癌治疗中的地位。
Objective To summarize the experience of prevention and treatment of postoperative complications of liver cancer resection and to improve the safety of surgery. Methods Eight cases of postoperative complications of liver cancer resection were summarized, and their causes, treatment and prevention were analyzed and discussed. Results Common complications were intraperitoneal hemorrhage (5.0%), liver failure (7.1%), pleural effusion (4.8%), biliary fistula (2.9%), intraperitoneal infection (1.2%), gastrointestinal bleeding %). Conclusion The surgeon should take necessary precautionary measures at each and every detail of complication and give timely and reasonable treatment to the complication. It can further improve the safety of hepatectomy and its position in the treatment of liver cancer.