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1、中華普通外科雜志2014年1月第29卷第1期ChinJGenSurg，January2014，Vo1．29，No．1·13·．論著．解剖性肝中葉切除治療中央型肝癌王永剛吳金術(shù)蔣波劉初平沈賢波彭創(chuàng)田秉璋【摘要】目的探討解剖性肝中葉切除治療中央型肝癌的可行性及近期療效。方法回顧性分析2007年1月至2011年12月收治的85例原發(fā)性中央型肝癌(單發(fā)，無遠(yuǎn)處轉(zhuǎn)移)，按照手術(shù)方式分為解剖性肝中葉切除術(shù)組(A組)共36例，非解剖性肝中葉切除術(shù)組(B組)共49例，比較手術(shù)策略，術(shù)中情況，術(shù)后并發(fā)癥及近期復(fù)發(fā)轉(zhuǎn)移情況。結(jié)果2組術(shù)中出血量差異無統(tǒng)計(jì)學(xué)意義(P>0．05)
2、；各組術(shù)中輸血量差異無統(tǒng)計(jì)學(xué)意義(P>0．05)；A組術(shù)后住院時(shí)間及總住院費(fèi)用明顯優(yōu)于B組(P<0．05)；A組手術(shù)時(shí)間較B組長，2組比較差異有統(tǒng)計(jì)學(xué)意義(P<0．05)；并發(fā)癥發(fā)生人數(shù)和發(fā)生人次2組有明顯統(tǒng)計(jì)學(xué)差異；A組復(fù)發(fā)轉(zhuǎn)移7例，占該組的19．4％(7／36)；而非解剖組復(fù)發(fā)轉(zhuǎn)移20例，占該組的40．8％(20／49)，2組比較差異有統(tǒng)計(jì)學(xué)意義(P<0．05)。結(jié)論解剖性肝中葉切除具有手術(shù)打擊小，術(shù)中出血少，術(shù)后滲出及并發(fā)癥少，復(fù)發(fā)轉(zhuǎn)移率低等優(yōu)點(diǎn)，可作為治療中央型肝癌的首選手術(shù)方式?！娟P(guān)鍵詞】癌，肝細(xì)胞；肝切除術(shù)Anatomicalmesohepa
3、tectomyforcentralhepatoeellularcarcinomaWangYonggang，WuJinshu，JiangBo，LiuChuping，ShenXianbo，PeChuang，TianBingzhang．DepartmentofHepatobiliarySurgery，HunanProvincialPeopleSHospital，Changsha410005，ChinaCorrespondingauthor：WuJinshu，E—mail：wjs@126．corn【Abstract】ObjectiveTocomparetheef
4、ficaciesofanatomicandnonanatomicmesohepatectomyforcentraltypehepatocellularcarcinoma．MethodsTheclinicaldataof85patientswithcentraltypehepatocellularcarcinomaundergoinghepatectomieswereretrospectivelyanalysed．36patientsunderwentanatomicmesohepatectomyandtheother49patientsdidnonana
5、tomicmesohepatectomy．Theoperativetime，intraoperativebloodloss，incidenceofpostoperativecomplications，postoperativedrainagevolume，timetoflatusandlengthofpostoperativestaybetweenthetwogroupswerecompared．ResultsTherewerenosignificantdifferencesinthegeneralcondition．organfunction．tumo
6、rsizeandlocationbetweenthetwogroupsbeforeoperation(P>0．05)．Theintraoperativebloodloss，incidenceofpostoperativecomplications，drainagevolumeweresignificantlylessbuttheoperativetimelongerinanatomicmes0hepatect0mygroupthannonanatomichepatectomygroup(P<0．05)．Nodifferencesbetweenthetwo
7、groupsweref0undinregardtothetimeforflatusandlengthofpostoperativehospitalstay(P>0．05)．Tumorrecurrencedevelopedin7casesingroupAand20casesingroupB(P<0．05)．ConclusionsAnatomicmesohepatectomyhastheadvantagesoflesssurgicaltrauma，lessexudationandcomplicationsinpatientswithcentraltypehe
8、patocellularcarcinoma．【Keywords】Carcinom
