{"id":8155,"date":"2024-05-14T09:00:22","date_gmt":"2024-05-14T01:00:22","guid":{"rendered":"https:\/\/asiamd.com\/?p=8155"},"modified":"2025-08-20T11:49:51","modified_gmt":"2025-08-20T11:49:51","slug":"keyhole-surgery-for-liver-cancer","status":"publish","type":"post","link":"https:\/\/asiamd.bqubetech.com\/zh\/2024\/05\/14\/keyhole-surgery-for-liver-cancer\/","title":{"rendered":"\u809d\u764c\u9501\u5b54\u624b\u672f"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">\u9501\u5b54\u624b\u672f\uff0c\u53c8\u79f0\u8179\u8154\u955c\u624b\u672f\uff0c\u662f\u4e00\u79cd\u5fae\u521b\u5916\u79d1\u624b\u672f\uff0c\u7528\u4e8e\u591a\u4e2a\u533b\u7597\u9886\u57df\uff0c\u5305\u62ec\u5bf9\u809d\u764c\u7684\u6cbb\u7597\u3002\u672c\u6587\u5c06\u63a2\u8ba8\u809d\u80bf\u7624\u7684\u8bca\u65ad\u3001\u624b\u672f\u5207\u9664\u7684\u6807\u51c6\u3001\u809d\u764c\u7684\u6cbb\u7597\u65b9\u6cd5\u4ee5\u53ca\u8179\u8154\u955c\u624b\u672f\u7684\u5177\u4f53\u4f18\u52bf\u3002<\/span><\/p>\n<blockquote>\n<p class=\"p1\"><span class=\"s1\"><a href=\"https:\/\/bit.ly\/AsiaMDWhatsapp\" target=\"_blank\" rel=\"noopener\"><b>\u5728<\/b><span class=\"s2\"><b><i>WhatsApp<\/i><\/b><\/span><b>\u4e0a\u5173\u6ce8\u6211\u4eec\uff0c\u53ef\u63a5\u6536\u6700\u65b0\u6d88\u606f\uff1a<\/b><\/a><a href=\"https:\/\/bit.ly\/AsiaMDWhatsAppCHN\"><span class=\"s2\"><b><i>https:\/\/bit.ly\/AsiaMDWhatsAppCHN<\/i><\/b><\/span><\/a><\/span><\/p>\n<\/blockquote>\n<h2><span style=\"font-weight: 400;\">1. \u809d\u80bf\u7624\uff1a\u826f\u6027\u8fd8\u662f\u6076\u6027\uff1f<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u5224\u65ad\u809d\u80bf\u7624\u662f\u826f\u6027\u8fd8\u662f\u6076\u6027\u5bf9\u4e8e\u6307\u5bfc\u6cbb\u7597\u7b56\u7565\u81f3\u5173\u91cd\u8981\u3002\u8bca\u65ad\u9700\u8981\u5c06\u5f71\u50cf\u5b66\u68c0\u67e5\u3001\u8840\u68c0\u3001\u809d\u764c\u5371\u9669\u56e0\u7d20\u548c\u6d3b\u4f53\u7ec4\u7ec7\u68c0\u67e5\u76f8\u7ed3\u5408\u3002<\/span><\/p>\n<p><strong>(a) \u5f71\u50cf\u5b66\u68c0\u67e5<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u8d85\u58f0\u6ce2\u3001\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\uff08CT\uff09\u548c\u78c1\u5171\u632f\u6210\u50cf\uff08MRI\uff09\u7b49\u6210\u50cf\u6a21\u5f0f\u662f\u8bc4\u4f30\u809d\u75c5\u53d8\u7684\u7b2c\u4e00\u6b65\u3002\u8fd9\u4e9b\u6280\u672f\u6709\u52a9\u4e8e\u8bc4\u4f30\u80bf\u7624\u7684\u5927\u5c0f\u3001\u4f4d\u7f6e\u548c\u7279\u5f81\uff0c\u4e3a\u4e86\u89e3\u80bf\u7624\u7684\u6027\u8d28\u63d0\u4f9b\u6709\u4ef7\u503c\u7684\u7ebf\u7d22\u3002<\/span><\/p>\n<p><strong>(b) \u6d3b\u68c0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u6d3b\u68c0\u5373\u5728\u6210\u50cf\u6280\u672f\u7684\u6307\u5bfc\u4e0b\u4ece\u809d\u80bf\u7624\u4e2d\u63d0\u53d6\u5c11\u91cf\u7ec4\u7ec7\u6837\u672c\u3002\u7136\u540e\u5728\u663e\u5fae\u955c\u4e0b\u68c0\u67e5\u6837\u672c\uff0c\u4ee5\u786e\u5b9a\u662f\u5426\u5b58\u5728\u764c\u7ec6\u80de\u3002\u8fd9\u79cd\u65b9\u6cd5\u88ab\u8ba4\u4e3a\u662f\u8bca\u65ad\u809d\u764c\u7684\u9ec4\u91d1\u6807\u51c6\u3002\u7136\u800c\uff0c\u7531\u4e8e\u6d3b\u68c0\u65f6\u5b58\u5728\u80bf\u7624\u6cbf\u9488\u9053\u64ad\u79cd\u548c\u764c\u75c7\u6269\u6563\u7684\u98ce\u9669\uff0c\u56e0\u6b64\u5e76\u4e0d\u603b\u662f\u91c7\u7528\u8fd9\u79cd\u65b9\u6cd5\u3002<\/span><\/p>\n<p><strong>(c) \u8840\u68c0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u8840\u68c0\uff0c\u5305\u62ec\u7532\u80ce\u86cb\u767d\uff08AFP\uff09\u6c34\u5e73\u6d4b\u91cf\uff0c\u53ef\u4ee5\u4e3a\u809d\u764c\u8bca\u65ad\u63d0\u4f9b\u652f\u6301\u3002\u7532\u80ce\u86cb\u767d\u6c34\u5e73\u5347\u9ad8\u901a\u5e38\u4e0e\u809d\u7ec6\u80de\u764c\uff08HCC\uff09\u6709\u5173\uff0c\u540e\u8005\u662f\u6700\u5e38\u89c1\u7684\u809d\u764c\u7c7b\u578b\u3002\u53e6\u4e00\u65b9\u9762\uff0c\u764c\u75c7\u4ece\u7ed3\u80a0\u8f6c\u79fb\u5230\u809d\u810f\u7684\u60a3\u8005\u901a\u5e38\u4f1a\u51fa\u73b0\u764c\u80da\u6297\u539f\uff08CEA\uff09\u5347\u9ad8\u3002<\/span><\/p>\n<p><strong>(d) \u5371\u9669\u56e0\u7d20<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u809d\u764c\uff08HCC\uff09\u5371\u9669\u56e0\u7d20\u5305\u62ec\u4efb\u4f55\u53ef\u5bfc\u81f4\u809d\u810f\u7622\u75d5\u6216\u786c\u5316\uff0c\u4ece\u800c\u9020\u6210\u809d\u786c\u5316\u7684\u75be\u75c5\uff08\u5982\u4e59\u578b\u809d\u708e\u611f\u67d3\u3001\u9152\u7cbe\u6027\u809d\u786c\u5316\u548c\u8102\u80aa\u809d\uff09\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-weight: 400;\">2. \u809d\u764c\u624b\u672f\u5207\u9664\u6807\u51c6<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u9009\u62e9\u5bf9\u809d\u764c\u60a3\u8005\u8fdb\u884c\u624b\u672f\u5207\u9664\u662f\u4e00\u4e2a\u5173\u952e\u4e14\u9ad8\u5ea6\u7279\u5f02\u6027\u7684\u8fc7\u7a0b\uff0c\u53d7\u5230\u764c\u75c7\u7279\u5f81\u3001\u60a3\u8005\u6574\u4f53\u809d\u529f\u80fd\u4ee5\u53ca\u662f\u5426\u5b58\u5728\u8f6c\u79fb\u7b49\u8be6\u7ec6\u8bc4\u4f30\u7684\u5f71\u54cd\u3002\u4ee5\u4e0b\u662f\u4e13\u95e8\u9488\u5bf9\u809d\u764c\u7684\u7ec6\u5316\u6807\u51c6\uff1a<\/span><\/p>\n<p><strong>(a) \u764c\u75c7\u7c7b\u578b\u548c\u5206\u671f<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u809d\u7ec6\u80de\u764c\uff08HCC\uff09\uff1a\u65e9\u671f\u809d\u7ec6\u80de\u764c\u60a3\u8005\u901a\u5e38\u4f1a\u8003\u8651\u624b\u672f\u5207\u9664\u3002\u8fd9\u662f\u56e0\u4e3a\u65e9\u671f\u809d\u7ec6\u80de\u764c\u901a\u5e38\u662f\u5c40\u90e8\u6027\u7684\uff0c\u53ef\u4ee5\u901a\u8fc7\u624b\u672f\u5b8c\u5168\u5207\u9664\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u8f6c\u79fb\u6027\u809d\u764c\uff1a\u5728\u67d0\u4e9b\u60c5\u51b5\u4e0b\uff0c\u809d\u764c\u6e90\u81ea\u5176\u5b83\u539f\u53d1\u90e8\u4f4d\uff08\u8f6c\u79fb\u6027\u809d\u764c\uff09\uff0c\u5982\u679c\u764c\u75c7\u4ec5\u9650\u4e8e\u809d\u810f\u4e2d\u7684\u51e0\u4e2a\u5c0f\u533a\u57df\uff0c\u4e14\u539f\u53d1\u764c\u75c7\u5df2\u5f97\u5230\u63a7\u5236\uff0c\u5219\u4ecd\u53ef\u9009\u62e9\u624b\u672f\u6cbb\u7597\u3002<\/span><\/li>\n<\/ul>\n<p><strong>(b) \u809d\u529f\u80fd<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u809d\u50a8\u5907\u5145\u8db3\uff1a\u6210\u529f\u7684\u809d\u810f\u624b\u672f\u8981\u6c42\u5269\u4f59\u7684\u809d\u810f\u7ec4\u7ec7\u8db3\u4ee5\u7ef4\u6301\u751f\u547d\u3002\u5bf9\u6b64\uff0c\u901a\u5e38\u4f1a\u91c7\u7528Child-Pugh\u8bc4\u5206\u6765\u8fdb\u884c\u8bc4\u4f30\uff0c\u5373\u6839\u636e\u603b\u80c6\u7ea2\u7d20\u3001\u8840\u6e05\u767d\u86cb\u767d\u6c34\u5e73\u3001\u51dd\u8840\u9176\u539f\u65f6\u95f4\u3001\u8179\u6c34\u548c\u8111\u75c5\u7684\u5b58\u5728\u6765\u8bc4\u4f30\u809d\u529f\u80fd\u3002\u901a\u5e38\u53ea\u6709\u809d\u529f\u80fd\u826f\u597d\uff08Child-Pugh A\uff09\u7684\u60a3\u8005\u624d\u4f1a\u88ab\u8003\u8651\u8fdb\u884c\u624b\u672f\u3002\u5145\u8db3\u7684\u809d\u50a8\u5907\u9700\u8981\u826f\u597d\u7684\u809d\u529f\u80fd\u548c\u5145\u8db3\u7684\u672a\u6765\u809d\u810f\u6b8b\u4f59\uff08\u5373\u5207\u9664\u540e\u7684\u6b8b\u4f59\u809d\u810f\u4f53\u79ef\u5145\u8db3\uff09\u3002<\/span><\/li>\n<\/ul>\n<p><strong>(c) \u80bf\u7624\u5927\u5c0f\u548c\u4f4d\u7f6e<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u53ef\u624b\u672f\u7684\u80bf\u7624\uff1a\u6210\u529f\u7684\u80bf\u7624\u5207\u9664\u9700\u8981\u786e\u4fdd\u764c\u75c7\u88ab\u5b8c\u5168\u5207\u9664\uff0c\u5e76\u4e14\u60a3\u8005\u672a\u6765\u4ecd\u6709\u5145\u8db3\u7684\u809d\u810f\u6b8b\u4f59\u3002\u6ca1\u6709\u809d\u786c\u5316\u4e14\u809d\u529f\u80fd\u826f\u597d\u7684\u60a3\u8005\uff0c\u5373\u4f7f\u672a\u6765\u53ea\u670930%\u7684\u809d\u810f\u6b8b\u4f59\uff0c\u4e5f\u80fd\u5b58\u6d3b\u3002<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u8109\u7ba1\u4fb5\u72af\uff1a\u672a\u89c1\u4e3b\u8981\u8109\u7ba1\uff08\u5982\u4e3b\u8981\u95e8\u9759\u8109\u3001\u809d\u52a8\u8109\u6216\u4e0b\u8154\u9759\u8109\uff09\u4fb5\u72af\u662f\u81f3\u5173\u91cd\u8981\u7684\u3002\u7531\u4e8e\u5e76\u53d1\u75c7\u98ce\u9669\u8f83\u9ad8\uff0c\u5305\u88f9\u6216\u4fb5\u72af\u4e3b\u8981\u8109\u7ba1\u7684\u80bf\u7624\u901a\u5e38\u88ab\u8ba4\u4e3a\u4e0d\u80fd\u624b\u672f\u3002<\/span><\/li>\n<li aria-level=\"1\"><\/li>\n<\/ul>\n<p><strong>(d) \u672a\u89c1\u75be\u75c5\u6269\u6563<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u5c40\u90e8\u75be\u75c5\uff1a\u5bf9\u4e8e\u764c\u75c7\u672a\u6269\u6563\u5230\u809d\u810f\u4ee5\u5916\u7684\u60a3\u8005\u800c\u8a00\uff0c\u624b\u672f\u6700\u4e3a\u6709\u6548\u3002\u901a\u5e38\u91c7\u7528\u6b63\u7535\u5b50\u53d1\u5c04\u65ad\u5c42\uff08PET\uff09\u626b\u63cf\u6216\u8ba1\u7b97\u673a\u65ad\u5c42\uff08CT\uff09\u626b\u63cf\u7b49\u5148\u8fdb\u7684\u6210\u50cf\u6280\u672f\u6765\u786e\u5b9a\u3002\u8fd9\u4e9b\u626b\u63cf\u6709\u52a9\u4e8e\u786e\u4fdd\u6ca1\u6709\u53d1\u751f\u8fdc\u5904\u8f6c\u79fb\uff0c\u56e0\u4e3a\u8fdc\u5904\u8f6c\u79fb\u901a\u5e38\u4f1a\u5bfc\u81f4\u809d\u80bf\u7624\u5207\u9664\u624b\u672f\u524d\u529f\u5c3d\u5f03\u3002<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-weight: 400;\">3. \u809d\u764c\u7684\u6cbb\u7597\u65b9\u6cd5<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u809d\u764c\uff0c\u5305\u62ec\u809d\u7ec6\u80de\u764c\uff08HCC\uff09\u7b49\u539f\u53d1\u6027\u764c\u75c7\u548c\u7ee7\u53d1\u6027\uff08\u8f6c\u79fb\u6027\uff09\u764c\u75c7\uff0c\u9700\u8981\u91c7\u53d6\u591a\u65b9\u9762\u7684\u6cbb\u7597\u65b9\u6cd5\u3002\u6cbb\u7597\u65b9\u6cd5\u7684\u9009\u62e9\u53d6\u51b3\u4e8e\u591a\u4e2a\u56e0\u7d20\uff0c\u9700\u8981\u8003\u8651\u764c\u75c7\u7684\u5206\u671f\u3001\u60a3\u8005\u7684\u6574\u4f53\u809d\u529f\u80fd\u548c\u5065\u5eb7\u72b6\u51b5\u3002\u4e0b\u9762\u5c06\u8be6\u7ec6\u4ecb\u7ecd\u4e13\u95e8\u9488\u5bf9\u809d\u764c\u7684\u6cbb\u7597\u65b9\u6848\uff1a<\/span><\/p>\n<p><strong>(a) \u624b\u672f\u5207\u9664<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u8fd9\u5305\u62ec\u901a\u8fc7\u624b\u672f\u5207\u9664\u809d\u810f\u7684\u764c\u53d8\u90e8\u5206\u3002\u5bf9\u4e8e\u5c40\u90e8\u80bf\u7624\u548c\u809d\u529f\u80fd\u826f\u597d\u3001\u65e0\u660e\u663e\u809d\u786c\u5316\u6216\u5176\u5b83\u809d\u75c5\u7684\u60a3\u8005\uff0c\u8fd9\u79cd\u65b9\u6cd5\u6700\u4e3a\u6709\u6548\u3002\u5bf9\u4e8e\u5c1a\u672a\u4fb5\u72af\u8109\u7ba1\u6216\u6269\u6563\u5230\u809d\u810f\u4ee5\u5916\u7684\u3001\u754c\u9650\u6e05\u695a\u7684\u5c0f\u80bf\u7624\uff0c\u5207\u9664\u672f\u88ab\u8ba4\u4e3a\u662f\u5177\u6709\u6cbb\u6108\u6027\u7684\u65b9\u6cd5\u3002<\/span><\/p>\n<p><strong>(b) \u809d\u79fb\u690d<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u65e9\u671f\u809d\u764c\u60a3\u8005\u901a\u5e38\u7531\u4e8e\u6f5c\u5728\u7684\u809d\u786c\u5316\u800c\u5bfc\u81f4\u4e25\u91cd\u7684\u809d\u529f\u80fd\u969c\u788d\uff0c\u79fb\u690d\u4e3a\u4ed6\u4eec\u5e26\u6765\u4e86\u5e0c\u671b\u3002\u809d\u764c\u60a3\u8005\u63a5\u53d7\u79fb\u690d\u7684\u6807\u51c6\u5305\u62ec\u52a0\u5dde\u5927\u5b66\u65e7\u91d1\u5c71\u5206\u6821\uff08UCSF\uff09\u6807\u51c6\u3002\u8fd9\u79cd\u65b9\u6cd5\u65e8\u5728\u6e05\u9664\u6240\u6709\u764c\u7ec6\u80de\uff0c\u5e76\u7528\u5065\u5eb7\u7684\u809d\u810f\u66ff\u4ee3\uff0c\u4ece\u800c\u6709\u53ef\u80fd\u6cbb\u6108\u764c\u75c7\u548c\u809d\u75c5\u3002<\/span><\/p>\n<p><strong>(c) \u6d88\u878d\u672f<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u6d88\u878d\u672f\u5728\u4e0d\u5207\u9664\u809d\u80bf\u7624\u7684\u60c5\u51b5\u4e0b\u5c06\u4e4b\u6467\u6bc1\u3002\u5c04\u9891\u6d88\u878d\uff08RFA\uff09\u548c\u5fae\u6ce2\u6d88\u878d\uff08MWA\uff09\u7b49\u6280\u672f\u5229\u7528\u70ed\u91cf\u6740\u6b7b\u764c\u7ec6\u80de\u3002\u6d88\u878d\u672f\u9002\u7528\u4e8e\u80bf\u7624\u8f83\u5c0f\uff08\u901a\u5e38\u5c0f\u4e8e3cm\uff09\u7684\u60a3\u8005\uff0c\u8fd9\u4e9b\u60a3\u8005\u53ef\u80fd\u56e0\u80bf\u7624\u4f4d\u4e8e\u809d\u810f\u5185\u6216\u809d\u529f\u80fd\u8f83\u5dee\u800c\u4e0d\u9002\u5408\u624b\u672f\u6cbb\u7597\u3002<\/span><\/p>\n<p><strong>(d) \u6813\u585e\u7597\u6cd5<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u8be5\u7597\u6cd5\u9488\u5bf9\u7684\u662f\u80bf\u7624\u7684\u8840\u6db2\u4f9b\u5e94\uff0c\u800c\u8840\u6db2\u4f9b\u5e94\u5bf9\u80bf\u7624\u7684\u751f\u957f\u548c\u5b58\u5728\u81f3\u5173\u91cd\u8981\u3002\u7ecf\u52a8\u8109\u5316\u7597\u6813\u585e\u672f\uff08TACE\uff09\u5c06\u6813\u585e\u4e0e\u5316\u7597\u76f8\u7ed3\u5408\uff0c\u76f4\u63a5\u5411\u809d\u80bf\u7624\u8f93\u9001\u6297\u764c\u836f\u7269\u5e76\u963b\u65ad\u5176\u8840\u6db2\u4f9b\u5e94\u3002\u53e6\u4e00\u79cd\u65b9\u6cd5\u662f\u653e\u5c04\u6813\u585e\u672f\uff08Y90\uff09\uff0c\u4f7f\u7528\u5fae\u5c0f\u7684\u653e\u5c04\u6027\u7c92\u5b50\u76f4\u63a5\u5411\u80bf\u7624\u8f93\u9001\u653e\u5c04\u7ebf\u3002\u8fd9\u4e9b\u65b9\u6cd5\u6709\u5229\u4e8e\u63a7\u5236\u80bf\u7624\u751f\u957f\uff0c\u5c24\u5176\u662f\u5728\u65e0\u6cd5\u8fdb\u884c\u624b\u672f\u7684\u60c5\u51b5\u4e0b\u3002<\/span><\/p>\n<p><strong>(e) \u9776\u5411\u7597\u6cd5\u548c\u514d\u75ab\u7597\u6cd5<\/strong><\/p>\n<p><span style=\"font-weight: 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