摘要
为了进一步提高疗效，对２１２例原发性肝癌手术后生存５年以上病例进行了分析。其中Ⅰ期９７例、Ⅱ期１１５例，瘤体≤５ｃｍｌｌ５例。其中１１４例系小肝癌，７０例为非小肝癌，１６例系二期切除，１２例系切除以外的姑息性外科手术。再手术４４例，其中亚临床复发３８例、肺转移６例。至１９９４年１２月，随访期６１～３９７个月（平均１０９个月），生存１０年以上５７例，１５年以上２４例，２０年以上５例，最长１例无瘤生存已３３年。此外对提高肝癌切除后远期疗效进行了讨论。
Two hundred and twelve patients with primary liver cancer (PLC)surviving for over 5
years after surgery were analyzed. Of these, stage I constituted45.8%(97/212), stage Ⅱ
54.2%(115/212). There were 115 cases with small(≤5cm)PLC.Among the 212 cases, 114 with
small PLC were resected, 70 non-small PLC were alsoresected, 16 cases were performed
two-stage operation, and 17 patients were givenpalliative surgery other than resection,
Re-operation for subclinical recurrence wasperformed in 38 cases, and solitary pulmonary
metastases in 6 cases. By the end of1994, followed-up for 61 to 397 months(mean l09 months).
Among the 212 patients, 57survived more than l0 years, 24 more than l5 years, 5 more than 20
years, the longestwith disease-free being 33 years. Besides, the way to improve long-term
effect afterresection was briefly discussed.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1996年第4期189-191,共3页
Chinese Journal of Digestion
关键词
肝肿瘤
外科手术
存活率
Liver neoplasm/surgery Survival rate
