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目的 探讨原发性肝癌(简称肝癌)患者行极量肝切除的指征和安全性。 方法 2000年11月～2002年10月行极量肝切除治疗原发性肝癌共33例,合并肝硬化者26例,分析评估肝癌极量肝切除的术前各项指标、术中处理和术后恢复情况。 结果 全组无手术死亡,术后并发症发生率为33.3％,经及时治疗后均顺利恢复。 结论 肝脏储备功能良好的肝癌患者,在保证切肝量不超过肝组织量的50％的基础上,尽可能多地保留肝组织,术后加强残肝功能保护,及时处理并发症,肝癌行极量肝切除仍然是安全的。
Objective To investigate the indications and safety of extreme hepatectomy in patients with primary liver cancer (referred to as liver cancer). Methods From November 2000 to October 2002, 33 patients with primary liver cancer undergoing maximal hepatectomy and 26 patients with cirrhosis were analyzed. The preoperative indicators, After the recovery situation. Results All patients died without surgery, the incidence of postoperative complications was 33.3%, after a timely recovery were successfully recovered. Conclusions Liver cancer patients with well-preserved liver function should retain liver tissue as much as possible to ensure that the amount of hepatectomy does not exceed 50% of the liver tissue. Postoperative liver function protection should be strengthened to promptly treat the complications. Quantitative liver resection is still safe.