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目的:探讨肝尾状叶巨大肿瘤的手术疗效及最佳手术方法。方法:选取66例肝尾状叶巨大肿瘤(≥10cm)患者,将其随机分为研究组和对照组,研究组患者实施联合肝切除方法,对照组进行单独尾状叶切除法,对其进行回顾性分析,并比较其病理表现、手术效果、并发症和远期生存率。结果:尾状叶切除术通常最常应用在原发性肝癌(HCC)中,研究组手术时间、住院时间比对照组短,失血量少,两组患者无围手术期死亡现象,总生存率研究组高于对照组。结论:肝尾状巨大肿瘤实施何种切除手术决定于病变部位、大小、肝脏储备功能。如肝脏具有较好的功能储备,实施肝尾状叶联合部分肝切除手术是首选,如肝脏功能储备只在临界点,则只能实施单纯的肝尾状叶切除术。
Objective: To investigate the surgical treatment of giant tumor of caudate lobe and the best surgical method. Methods: Sixty-six patients with huge giant tumor of caudate lobe (≥10cm) were selected and randomly divided into study group and control group. Patients in study group received combined liver resection and control group received caudate lobectomy. Retrospective analysis, and compare their pathological findings, surgical outcomes, complications and long-term survival. Results: The most common application of caudate lobe resection was primary hepatocellular carcinoma (HCC). The study group had shorter operation time and hospitalization time than the control group, less blood loss, no perioperative death in both groups, and overall survival rate Study group than the control group. Conclusion: The resection of large hepatocellular giant tumor depends on the lesion location, size and liver reserve function. If the liver has a good functional reserve, the implementation of liver caudate lobe in conjunction with partial hepatectomy is the first choice, such as liver function reserve only at the critical point, you can only implement a simple caudate lobectomy.