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目的:探讨肝门附近大肝癌手术切除的可行性和方法。方法:回顾分析46例肝门附近大肝癌的临床资料。结果:46例手术病人1例因肝功能衰竭死亡,其余均安全度过围手术期,术后随访1a～5a,复发27例,复发率60%,1a、3a、5a生存率分别为85%、30%和22%(绝对生存率)。结论:肝门附近大肝癌的手术治疗是首选的治疗方法,技术上是可行的。
Objective: To investigate the feasibility and method of surgical resection of large hepatocellular carcinoma near the portal. Methods: A retrospective analysis of 46 cases of hepatocellular carcinoma near the clinical data. Results: One of 46 surgical patients died of hepatic failure, and the rest were safely perioperatively. Surgical follow-up la ~ 5a and recurrence in 27 cases were performed. The recurrence rate was 60%, and the survival rates of 1a, 3a and 5a were 85% , 30% and 22% (absolute survival). Conclusion: Surgical treatment of large hepatocellular carcinoma near the hepatic portal is the first choice of treatment and is technically feasible.