Radiofrequency-assisted liver resection versus traditional liver resection for hepatocellular carcinoma: a randomized controlled trial

张璠; 闫军; 冯晓斌; 夏锋; 李晓武; 马宽生; 别平

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Radiofrequency-assisted liver resection versus traditional liver resection for hepatocellular carcinoma: a randomized controlled trial

更新时间：2026-01-09

- Radiofrequency-assisted liver resection versus traditional liver resection for hepatocellular carcinoma: a randomized controlled trial
- Journal of Army Medical University Vol. 37, Issue 10, Pages: 1022-1025(2015)
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  CLC： R181.32;R730.56;R735.7
- Published：2015
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张璠,闫军,冯晓斌,夏锋,李晓武,马宽生,别平.射频辅助肝切除术与单纯性肝切除术治疗肝细胞性肝癌的前瞻性随机对照研究[J].陆军军医大学学报(原第三军医大学学报),2015,37(10):1022-1025.

　Zhang Fan,Yan Jun,Feng Xiaobin,Xia Feng,Li Xiaowu,Ma Kuansheng,Bie Ping.Radiofrequency-assisted liver resection versus traditional liver resection for hepatocellular carcinoma: a randomized controlled trial[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(10):1022-1025.
张璠,闫军,冯晓斌,夏锋,李晓武,马宽生,别平.射频辅助肝切除术与单纯性肝切除术治疗肝细胞性肝癌的前瞻性随机对照研究[J].陆军军医大学学报(原第三军医大学学报),2015,37(10):1022-1025. DOI：

　Zhang Fan,Yan Jun,Feng Xiaobin,Xia Feng,Li Xiaowu,Ma Kuansheng,Bie Ping.Radiofrequency-assisted liver resection versus traditional liver resection for hepatocellular carcinoma: a randomized controlled trial[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(10):1022-1025. DOI：

摘要

目的比较射频辅助肝切除术和单纯性肝切除术治疗肝细胞性肝癌的围手术期疗效。方法术前采用随机数字表法将2012年12月至2014年10月在第三军医大学西南医院住院的 92例肝癌患者随机性分配到两个治疗组中，其中射频辅助肝切除术组（RF+LR）46例，单纯性肝切除术组（LR）46例。观察的主要疗效指标是各组患者术中的出血量和肝门阻断时间；次要疗效指标是术后肝功能、并发症发生率、死亡率和住院时间。结果平均失血量在射频辅助肝切除术组（RF+LR）低于单纯性肝切除术组（LR，300 mL vs 400 mL

P=0.049）；肝门阻断的时间在RF+LR组明显降低（10 min vs 15 min

P=0.014）。术后肝功能和总体的并发症发生率两组间无统计学差异(P0.05)，住院时间RF+LR组明显缩短（18.5 d vs 22.5 d

P=0.002）。两组均无死亡的患者。结论射频辅助肝切除术在肝细胞性肝癌的治疗中能够有效地减少术中出血量、肝门阻断时间和住院时间，但是对于肝硬化重的患者应慎用。

Abstract

Objective To compare the perioperative effects of radiofrequency-assisted liver resection (RF+LR) and traditional liver resection (LR) in hepatocellular carcinoma (HCC) patients. Methods From December 2012 to October 2014

92 HCC patients were randomly divided into an RF+LR group (n=46) and a traditional LR group (n=46). The intraoperative blood loss

time of portal triad clamp

postoperative liver function

complications

mortality and hospital stays were observed. Results The mean intraoperative blood loss was significantly less in the RF+LR group than in the traditional LR group (300 vs 400 mL

P=0.049)

and the time of portal triad clamp was shorter in the RF+LR group than in the traditional LR group (10 vs 15 min

P=0.014). There was no statistically significant difference in the postoperative liver function and complications between the 2 groups. The hospital stays were significantly reduced in the RF+LR group as compared with the traditional LR group (18.5 vs 22.5 d

P=0.002). No death happened in the 2 groups. Conclusion RF+LR can reduce the intraoperative blood loss

time of portal triad clamp and hospital stays effectively. However

this method should be used with caution in patients with severe cirrhosis.

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