中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

小肝癌多学科综合治疗方式优化选择

杨可立，陈敏山，陈锦滨   

  1. 中山大学肿瘤防治中心肝胆科，广东广州510060
  • 出版日期:2016-06-01 发布日期:2016-05-31

  • Online:2016-06-01 Published:2016-05-31

摘要：

目前，对于小肝癌可选择的治疗方法较多，其中根治性治疗方法包括肝移植、肝切除术（包括开放手术及腹腔镜手术）、局部消融治疗等。其中手术切除仍是最主要的治疗方法。随着微创外科技术的发展，腹腔镜下肝切除术已较多地运用于小肝癌病人，同时射频消融也能达到小肝癌根治的目的。在临床实践中，应注重肝癌的多学科综合治疗，根据病人肝储备功能、 肿瘤的大小和部位、 毗邻结构等情况选择治疗方式，通过对治疗方式的优化选择，可减小创伤、降低小肝癌术后复发率、提高病人长期存活率。

关键词: 小肝癌, 手术切除, 肝移植, 射频消融

Abstract:

Optimization of multidisciplinary treatment for small hepatocellular carcinoma        YANG Ke-li，CHEN Min-shan，CHEN Jin-bin. Department of Hepatobiliary Surgery，Sun Yat-Sen University Cancer Center，Guangzhou 510060，China
Corresponding author：CHEN Min-shan，E-mail：cms64@163.com
Abstract    Currently，the radical treatments of small hepatocellular carcinoma (HCC) include liver transplantation，liver resection (including open hepatectomy and laparoscopic hepatectomy)，radiofrequency ablation etc. Liver resection is still the main method for patients with HCC. With the development of minimally invasive treatment, laparoscopic hepatectomy has been widely used, and radiofrequency ablation (RFA) has been accepted as radical treatment of small HCC. In clinical practice, the multidisciplinary treatment of HCC and selection treatment according to liver function, tumor size and location, adjacent structure are very important. The optimization of the treatments can decrease the trauma, reduce the recurrence rate and improve long-term survival rate of patients with small HCC.

Key words: small hepatocellular carcinoma, surgical resection, liver transplantation, radiofrequency ablation