Surgery effecting a radical cure surgery _'s treatment of hepatocarcinoma

Surgery effecting a radical cure surgery _'s treatment of hepatocarcinoma
Person who effect a radical cure excision mean tumour excise completely and the intersection of I and liver have incomplete cancer, door pulse have a cancer bolt, AFP turn overcast without replying the male genital in postoperative 2 months, the image learns to check and has not seen tumour take place remainingly and again. There is about 50% more survival rate its 5 of literature report. The operation ascertains indication and taboo card As follows:
(1) Ascertain indication
1,The liver really has substances that takes pathological change in the location: Ultrasonography B, CT, MRI image learn, check, brief liver on, have substance account for location, limited to one leaf of liver and have distant place shift, there are persons who excises possible or still feasible condoning surgical treatment.
2,The effecting a radical cure postoperative recurring hepatocarcinoma relatively limited of excision, estimate that excises the possible ones.
3,After complex treatment, tumour obviously dwindles, estimate that excises the possible ones.
Liver function is normal or is in compensating one. The total albumen of blood plasma, about 60g/L, the plasma albumin is greater than 30g/L, the total egg of serum
It is in a ratio of 3-2 with globulin that white: 1,GPT is normal (it can be slightly high sometimes, it is worth more than 1 time normally but not exceed) ,Blood coagulation
The time of zymogen is worth more than 50% normally; There are no depleted yellow subcutaneous ulcer, ascites, lower extremities edema that caused of liver function.
Oppress obstructive jaundice that the biliary tract causes to hepatocarcinoma that the first liver door is smaller, in specific cases, can still consider the operation ascertains
,If tumour can be excised better, if is unable to excise for the moment, feasible condoning operation, wait for tumour dwindle, oppression relieve, jaundice disappear, consider, excise skill while being the second stage of and then.
Do not have other taboo cards, such as serious heart, lung, kidney, disease in the blood system, diabetes,etc. not controlled.
(2) Taboo card
1. Tumour is too big, I have less liver.
2. Tumour is sown extensively scatteredly or breaks up in the many tubercles type.
3. The portal vein backbone has cancer bolts.
4. There is extensive person who shifts distant place.
5. Liver function is lost, compensated, the person who has obvious yellow subcutaneous ulcer, ascites, cachexia.
6. Serious heart, lung, renal function obstacle, it is unable to tolerate the person who ascertains operation.
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