【摘要】 目的 探讨肝切除术治疗肝脏疾病的价值及其特点。方法 回顾分析我院1992～2003年行肝切除术治疗272例肝脏疾病的临床资料。探讨了原发性肝癌、肝血管瘤、肝内胆管结石的手术适应证、手术方法、术中控制出血及围手术期处理等问题。结果 手术后并发症发生率为22%，手术死亡率为2%，其中原发性肝癌185例，术后1、3、5年生存率分别为83.32%、45.87%、18.43%。结论 肝切除术后并发症发生率较高，术中控制出血及肝切除量，减少手术时间是降低术后并发症和死亡率的关键。术中应用全肝血流阻断和自体血回输可提高困难手术的安全性。

    Zhang Xinjun，Mo Yiwo，Wang Yankun，et al.

    Department of Hepatobilillary Surgery，First People’s Hospital of Yunnan Province，Kunming650032.

    【Abstract】 Objective To explore the value of hepatectomy in treatment of liver diseases.Methods The clinical data of272patients with liver diseases treated with hepatectomy in our hospital from1992to2003were retroˉspectively analyzed.The present study is aimed to explore the incidence of hepatectomy，the method of surgical proceˉdure and the management of pre and postoperation with primary liver cancer and liver angioma and intrahepatic-bile duct stone.Results The complication rate was22%after the operation，the death rate was2%.Of them185cases from primary liver cancer ......