肝癌治疗方法选择与肝癌转移及复发

Chinese Journal of Practical Surgery ›› 2012, Vol. 32 ›› Issue (10) : 829-832.

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PDF(424 KB)
Chinese Journal of Practical Surgery ›› 2012, Vol. 32 ›› Issue (10) : 829-832.
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Abstract

Option of surgical treatments for liver cancer and recurrence        YAN Jun,BIE Ping. Institute of Hepatobiliary Surgery,Southwest Hospital,the Third Military Medical University,Chongqing 400038,China
Corresponding author:BIE Ping,E-mail: bieping@medmail.com.cnAbstrac
Abstract    Tumor recurrence is a major factor in liver cancer long-term postoperative death. The choice of surgical approaches and surgical operation had an important influence for tumor recurrence. Precise anatomical liver resection conforms to the anatomical principle of tumor intrahepatic metastasis. Laparoscopic liver resection is micro invasive for appropriate cases. Radiofrequency ablation can be used as a method of first-line treatment of liver cancer that small than 3cm in diameter, which is an effective adjunct for liver resection. The anterior approach hepatectomy is an effective method for avoiding tumor spread that caused by surgical squeeze. Pringle’s maneuver might increase the risk of tumor recurrence. So it should try to adopt various methods to prevent or reduce the hepatic inflow occlusion. Postoperative TACE might improve the prognosis for non-radical resection of advanced liver cancer.

Key words

liver cancer / postoperative recurrence / hepatectomy

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