关键词: 肝细胞癌, 肝切除术, 外科引流术

Abstract:

Clinic application of lung dilation combined with primary suturing of defective diaphragma for the patients with hepatocellular carcinoma which invaded diapghragma        ZHAO Guo-dong, HU Ming-gen, LIU Rong. Department of Hepatobiliary Surgery, China People's Liberation Army (PLA) General Hospital, Beijing 100853, China
Corresponding author: LIU Rong, E-mail: liurong301@126.com
Abstract　Objective  To introduce the clinic application of lung dilation with primary suturing of defective diaphragma for the patients with hepatocellular carcinoma which invaded diapghragma. Methods    During Apr 2005 to Sep 2008, 8 patients with hepatocellular carcinoma which invaded diapghragma were treated by the above procedure combined with resection of hepatocellular carcinoma and partial diaphragma, closed drainage of thoracic cavity had not been utilized in all cases. Date correlated with patients was collected prospectively. Results    All operations were completed smoothly, postoperative pathology indicated the operative margin was clean in all cases. There was no peroperative death and no severe complication of lung. 7 Cases suffered a small quantity of pleural effusion post-operation, 1 case with medium dose of pleural effusion combined with atelectasis was cured by simple transcutaneous draining under ultrasonography. Mean time of postoperative hospitalization was 9.3 days. Follow-up, mean time 13.4 (6～28)months showed that 1 case died of tumor recurrence 1 year after operation, recurrence was found in 3 cases. Conclusion    Lung dilation with primary suturing of defective diaphragma is feasible and safe for the patients with hepatocellular carcinoma which invaded diapghragma, and it is simple on the technique, which could efficiently avoid the negative influence of closed drainage of thoracic cavity to the patient.

Key words: hepatocellular carcinoma, hepatectomy, surgical drainage