Friday, January 11, 2008
Liver cancer surgery radical surgery
Radical resection is complete tumor resection, I no residual liver cancer, portal vein tumor thrombus no, after two months without Minute AFP negative Shenyang, imaging examination and no residual tumor recurrence. The reported 5-year survival rate over 50%. Surgical exploration indication and contraindication as follows : (a) an indication of exploration, liver really substantive lesions : B - CT or MRI examinations showed intrahepatic substantive footprint there, confined to the liver of a leaf with no distant metastasis, resection may be acceptable or palliative surgical treatment. 2, after radical resection more confined recurrent cancer, the estimates were likely to be removed. 3, treatment, the tumor significantly narrowed, it is estimated that there were probably removed. Normal liver function or at decompensation. Plasma protein 60g / L, serum albumin greater than 30 g / L, serum protein globulin ratio of 3-2:1, normal ALT (sometimes be higher, but less than one times above normal), prothrombin time of the normal 50% above; no liver failure caused by jaundice, ascites, lower extremity edema. The first portal smaller liver oppression caused by biliary obstructive jaundice in certain circumstances, could be considered surgical exploration. if the tumor resection can be better, such as 1:00 unresectable, viable palliative surgery, the tumor to be reduced, the lifting oppression, jaundice dissipated, consider two resection. No other contraindications, such as severe heart, lung, kidney and blood diseases, such as diabetes control. (2) permits a taboo. Tumor too large, I fewer liver. 2. Disseminated tumor widely scattered more or nodular type. 3. Portal vein tumor thrombus exist. 4. Extensive distant metastasis. 5. Decompensated liver function, a marked jaundice, ascites, who cachexia. 6. Serious heart, lung, kidney dysfunction, can not be tolerated surgical exploration persons.
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