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首页> 美国卫生研究院文献>World Journal of Gastroenterology >Right trisectionectomy for primary liver cancer
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Right trisectionectomy for primary liver cancer

机译：右三部分切除术治疗原发性肝癌

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AIM: To evaluate the value of right trisectionectomy, previously named right trisegmentectomy, in the treatment of primary liver cancer by summarizing our 13-year experience for this procedure.METHODS: Thirty three primary liver cancer patients undergoing right trisectionectomy from Apr. 1987 to Dec. 1999 were investigated retrospectively. The impacts in survival of patients by cancerous biological behavior, such as tumor thrombi and satellite nodules, were discussed respectively. All right trisectionectomies were performed under normothermic interruption of porta hepatis at single time. Ultrasonic dissector (CUSA system 200) was used in dissection of hepatic parenchyma from Nov. 1992, instead of finger fracture.RESULTS: 1-, 3- and 5-year survival rates were 71.9%, 40.6% and 34.4%, respectively. The longest survival term with free cancer was 150 months (alive). There were no significant differences in survival curves between cases with and without tumor thrombi (right branch of portal vein) and satellite nodules. Operative mortality was 3.0% (1/33). Main surgical complications occurred in 5 cases.CONCLUSION: Right trisectionectomy should be regarded as an effective and safe procedure for huge primary liver cancers and is worth using more widely.
机译：目的：通过总结我们在原发性肝癌治疗方面的13年经验，评估右三段切除术在原发性肝癌治疗中的价值。方法：1987年4月至1987年12月，共有33例接受右三段切除术的原发性肝癌患者1999年进行了回顾性调查。分别讨论了癌性生物学行为（如肿瘤血栓和卫星结节）对患者生存的影响。正常情况下，在肝门常温中断下进行所有三段切除术。从1992年11月开始使用超声解剖器（CUSA system 200）进行肝实质的解剖，而不是手指骨折。结果：1年，3年和5年生存率分别为71.9％，40.6％和34.4％。游离癌的最长生存期为150个月（存活期）。有和没有肿瘤血栓（门静脉右分支）和卫星结节的病例的生存曲线没有显着差异。手术死亡率为3.0％（1/33）。结论5例主要外科手术并发症发生。结论：右三段切除术应被认为是治疗巨大原发性肝癌的一种安全有效的方法，值得广泛推广。

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