中国实用外科杂志

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外科医生面对肝癌术后复发的无奈及作为

姜洪池   

  1. 哈尔滨医科大学附属第一医院普外科,黑龙江哈尔滨 150001
  • 出版日期:2019-10-01 发布日期:2019-10-10

  • Online:2019-10-01 Published:2019-10-10

摘要:

尽管部分肝癌病人行根治性切除术后可无瘤生存数十年,但多数病人虽经外科医师不懈努力,却在术后不久复发甚至出现远处转移,此情况令外科医生感到无奈及沮丧。然而,对于此类病人,外科医师依然需要而且应该有所作为,包括规范化实施初次及再次肝切除手术,严格遵守无瘤原则,联合射频消融、经导管动脉化疗栓塞等方法进行多学科综合治疗,甚至进行肝移植手术。

关键词: 肝癌, 术后复发, 肝切除, 多学科综合治疗协作组

Abstract:

What can we do for the recurrent-tumor patients who underwent hepatectomy for hepatocellular carcinoma                JIANG Hong-chi. Department of Hepatic Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China
Abstract    Some of the patients with hepatocellular carcinoma could be performed hepatectomy and get optimal postoperative outcomes with tumor-free long-term survival which encourage surgeon to carry on the surgery with tremendous enthusiam. Unfortunately the others are not the case even though surgeons have done their best routinely and standardly and the tumor recurs in the liver in short time after surgery. For the sake of the patient treatment,the confidence should not be lost,there are a lot of things to be done which include re-resection, radio freuquency ablation,transcatheter arterial chemoembolization,liver transplantation respectively and individualizedly in order to receive better prognosis and longer-term survival.

Key words: hepatocellular carcinoma, post-operative recurrence, hepatectomy, multidisciplinary treatment(MDT)