The surgery of hepatocarcinoma treats _'s treatment

The surgery of hepatocarcinoma treats _'s treatment
The surgery is a method to treat the primary hepatocarcinoma. If only a part of liver has cancerous swelling, other components are in sound condition, and unhardened, the doctor will consider having an operation, excise the component of cancerous swelling, being called the liver and excised if excises a leaf liver among them, called the leaf to excise. The liver has surprising self- repair ability. Even cut 3/4, can regrow rapidly. Because hepatocarcinoma has illness coming on and relatively hides, find that belong to more later period, has already lost the best time for operation, adopt therapy of combining traditional Chinese and Western medicine more.
1.Surgery therapeutic method of hepatocarcinoma
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years. The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function.
Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. As to developing country, still difficult to popularize in recent years because of supporting body source and expense question.
2.Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, it liver method artery ligature sum (or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
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