Resection of Hilar Liver Cancer, Close to Major Vessels
Resection of Hilar Liver Cancer, Close to Major Vessels作者机构：Eastern Hepatobiliary Surgery Hospital Second Military Medical University Shanghai China
出 版 物：《The Chinese-German Journal of Clinical Oncology》 (中德临床肿瘤学杂志（英文版）)
年 卷 期：2002年第1卷第1期
页 面：16-18页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：liver cancer liver resection hilar area of the liver
摘 要：Objective To study the surgical experience with resection of a hilar liver cancer close to major vessels and how to improve the therapeutic result. Methods From January 1990 to June 1997, 58 hilar liver tumors (segment I , IV , V , VI ) were resected. The tumors in these 58 patients were within a distance of 1 cm to major hepatic vessels (retrothepatic inferior vena cava, root of hepatic veins, and left or right trunk of portal vein) . The diameter of the tumors was 5 cm in 42 cases and 5 cm in 16 cases, respectively. The size of the largest tumor was 20 cm ×18 cm×18 cm. The surgical techniques are summarized, and the prevention and treatment of postoperative complications are discussed. Results All operations have been carried out successfully and had a regular follow-up until now with 1-, 3- and 5-year survival rate of 71%, 38% and 25%, respectively. Conclusion While hilar liver surgery is quite difficult and risky, the safety and therapeutic results of surgery could be improved by observing a meticulous surgical technique, and by preventing and treating postoperative complications by multimodal measures.
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