Progress in Surgical Treatment of Primary Liver Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

樊嘉 , 黄成

Corresponding author：

Keywords：

原发性肝癌; 外科治疗; 进展

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

自1888年Langenbuch为肝脏肿瘤患者施行首例肝切除术后，肝脏外科至今已有一百多年历史。我国的肝脏外科经历了20世纪50年代的大肝癌的规则性切除，60年代的肝移植，70年代的小肝癌的局部切除，80年代的复发肝癌的再切除和肝癌的二期切除，90年代确立的肝癌综合治疗以及21世纪的肝癌转移、复发的防治研究阶段。肿瘤的早期发现和以手术切除为主的综合治疗大大提高了肝癌患者的生存率，手术切除仍是获得长期生存的最重要手段。随着肝脏解剖学的发展、影像学技术的进步、术中超声的应用、肝储备功能评估方法的改进、围手术期处理的完善、手术技术的进步以及手术器械的发展，使肝切除手术的死亡率和术后并发症发生率大大降低。近年来，微创观念和微创外科技术的兴起以及肝移植特别是活体肝移植(LDLT)的蓬勃开展，对传统的肝切除术造成巨大冲击，也因此促使了肝切除术的不断发展、丰富和完善。如何安全、彻底地切除肝脏病灶，同时保留充足的功能性肝组织，成为外科医师面临的新挑战。................

Citation： 樊嘉,黄成. Progress in Surgical Treatment of Primary Liver Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(4): 257-260. doi: Copy

1.	樊嘉，黄成. 肝癌外科治疗进展 [J] . 四川医学， 2005; 26(3)： 273275.
2.	Llovet JM, Bruix J. Novel advancements in the management of hepatocellular carcinoma in 2008　 [J] . J Hepatol， 2008; 48 Suppl 1: S20S37.[３] Elias D， Lasser P， Debaene B， et al ． Intermittent vascular exclusion of the liver (without vena cava clamping) during major hepatectomy [J]． Br J Surg， 1995; 82(11): 15351539.
3.	文天夫，严律南. 肝切除术中肝脏血流阻断技术的研究进展 [J] . 中国普外科基础与临床杂志， 2008; 15（4）: 209302.
4.	Belghiti J, Guevara OA, Noun R, et al . Liver hanging maneuver: a safe approach to right hepatectomy without liver mobilization [J] . J Am Coll Surg, 2001; 193(1): 109111.
5.	Tepetes K, Christodoulidis G, Spyridakis EM, et al . Tissue preserving hepatectomy by a vessel sealing device [J]. J Surg Oncol, 2008; 97(2): 165168.
6.	Sasaki A, Nitta H, Otsuka K, et al . Tenyear experience of totally laparoscopic liver resection in a single institution [J] .　Br J Surg, 2009; 96(3): 274279.
7.	Sugawara Y, Kokudo N.　Surgical treatment of hepatocellular carcinoma: comparison of resection and transplantation [J] . Oncology, 2008; 75 Suppl 1: 119123.
8.	樊嘉，周俭，徐泱, 等. 肝癌肝移植适应证的选择: 上海复旦标准 [J] . 中华医学杂志， 2006; 86(18): 12271231.
9.	Mazzaferro V, Llovet JM, Miceli R, et al . Predicting survival after liver transplantation in patients with hepatocellular carcinoma beyond the Milan criteria: a retrospective, exploratory analysis [J] . Lancet Oncol, 2009; 10(1): 3543.

1. 樊嘉，黄成. 肝癌外科治疗进展 [J] . 四川医学， 2005; 26(3)： 273275.
2. Llovet JM, Bruix J. Novel advancements in the management of hepatocellular carcinoma in 2008　 [J] . J Hepatol， 2008; 48 Suppl 1: S20S37.[３] Elias D， Lasser P， Debaene B， et al ． Intermittent vascular exclusion of the liver (without vena cava clamping) during major hepatectomy [J]． Br J Surg， 1995; 82(11): 15351539.
3. 文天夫，严律南. 肝切除术中肝脏血流阻断技术的研究进展 [J] . 中国普外科基础与临床杂志， 2008; 15（4）: 209302.
4. Belghiti J, Guevara OA, Noun R, et al . Liver hanging maneuver: a safe approach to right hepatectomy without liver mobilization [J] . J Am Coll Surg, 2001; 193(1): 109111.
5. Tepetes K, Christodoulidis G, Spyridakis EM, et al . Tissue preserving hepatectomy by a vessel sealing device [J]. J Surg Oncol, 2008; 97(2): 165168.
6. Sasaki A, Nitta H, Otsuka K, et al . Tenyear experience of totally laparoscopic liver resection in a single institution [J] .　Br J Surg, 2009; 96(3): 274279.
7. Sugawara Y, Kokudo N.　Surgical treatment of hepatocellular carcinoma: comparison of resection and transplantation [J] . Oncology, 2008; 75 Suppl 1: 119123.
8. 樊嘉，周俭，徐泱, 等. 肝癌肝移植适应证的选择: 上海复旦标准 [J] . 中华医学杂志， 2006; 86(18): 12271231.
9. Mazzaferro V, Llovet JM, Miceli R, et al . Predicting survival after liver transplantation in patients with hepatocellular carcinoma beyond the Milan criteria: a retrospective, exploratory analysis [J] . Lancet Oncol, 2009; 10(1): 3543.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Progress in Surgical Treatment of Primary Liver Cancer

Abstract Full text Figures/Tables Video References Cited by

Format

Content