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目前,对于小肝癌可选择的治疗方法较多,其中根治性治疗方法包括肝移植、肝切除术(包括开放手术及腹腔镜手术)、局部消融治疗等。其中手术切除仍是最主要的治疗方法。随着微创外科技术的发展,腹腔镜下肝切除术已较多地运用于小肝癌病人,同时射频消融也能达到小肝癌根治的目的。在临床实践中,应注重肝癌的多学科综合治疗,根据病人肝储备功能、肿瘤的大小和部位、毗邻结构等情况选择治疗方式,通过对治疗方式的优化选择,可减小创伤、降低小肝癌术后复发率、提高病人长期存活率。
At present, there are many treatments available for small hepatocellular carcinoma, of which radical treatment methods include liver transplantation, hepatectomy (including open surgery and laparoscopic surgery), and local ablation therapy. Among them, surgical resection is still the most important treatment method. With the development of minimally invasive surgical techniques, laparoscopic liver resection has been more used in small liver cancer patients, while radiofrequency ablation can also achieve the purpose of small hepatocellular carcinoma. In clinical practice, multidisciplinary comprehensive treatment of liver cancer should be emphasized. Treatment methods should be selected based on the patient’s hepatic reserve function, tumor size and location, and adjacent structures. Through optimized selection of treatment methods, trauma can be reduced and small hepatocellular carcinoma can be reduced. Postoperative recurrence rate and long-term patient survival.