摘要
目的探讨Glisson氏鞘外横断式肝段切除术治疗原发性肝癌的临床效果。方法将2006年4月～2008年7月收治的32例肝癌患者(A组)行Glisson氏鞘外横断式肝段切除术,选择2006年1月～2008年6月收治的30例(B组)接受常规肝癌局部切除术的肝癌患者作为对照组,比较两组手术切缘的阳性率、手术标本的微转移灶、复发率。结果A组切缘的阳性率(3.3%)明显低于B组切缘的阳性率(10.0%)。A组瘤外肝组织微转移灶的数量明显高于B组微转移灶的数量(P<0.05);A组微转移灶扩散的中位距离为7.2mm(2.7～25.6mm),B组微转移灶扩散的中位距离为4.2mm(2.4～9.0mm)。A组1年的复发率(12.5%)明显低于B组1年的复发率(26.7%)(P<0.05)。结论Glisson氏鞘外横断式肝段切除术操作简单,可减少肿瘤微转移灶的残留,降低复发率。
【Objective】To study the clinical effect of Glissonean pedicle transaction method of hepatic segmental resection.【Methods】The clinical data of 62 primary liver cancer patients admitted from January 2006 to June 2008 were analyzed retrospectively. 32 cases underwent Glissonean pedicle transaction method of hepatic segmentectomy （Group A）; 30 cases underwent routine hepatectomy （Group B）. Positive rate of Resection margin, the micrometastasis in the liver parenchyma surrounding the lesions and postoperative recurrent rates were studied and recorded. [Resuits] The positive rate of resection margin in group A was 3.3%, which was significantly lower than that of group B （10%）. The number of histological micrometastasis of group A （18） was significantly higher than that of group B （8）. The medial-distance of histological micrometastasis in group A was 7.2 mm （2.7 mm-25.6 mmm） and the medial-distance in group B was 4.2 mm （2.4 mm-9.0 mm）. The one-year recurrent rate of group A 02.5%） was significantly lower than that in group B （26.7%）. [ Conclusion] Glissonean pedicle transaction method of hepatic segmental resection was more simple than routine hepatectomy. This new method can reduce the number of histological micrometastasis and recurrent rate.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第23期3623-3625,共3页
China Journal of Modern Medicine
