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Liver Cnacer：腹腔镜肝切除对比经皮射频消融治疗小肝癌的疗效对比

2021-09-30 yd2015 MedSci原创

小肝癌腹腔镜肝切除术(LLR)经皮射频消融(p-RFA)
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研究表明，对于包膜下、血管周和肝前外侧部的单个小HCC, LLR比p-RFA能更好地控制局部肿瘤，因此可能是这些肿瘤的首选治疗方案。

腹腔镜肝切除术(LLR)与经皮射频消融(p-RFA)治疗单个小结节肝癌(HCCs)的疗效尚未有很好比较。来自韩国的团队开展了相关研究，目的是比较LLR和p-RFA作为一线治疗方案对≤3cm的单结节型肝癌患者的疗效。相关结果发表在Liver Cancer杂志上。

从2014年1月至2016年12月，共纳入566例≤3cm单发结节性HCC患者，采用LLR (n = 251)或p-RFA (n = 315)治疗。采用Kaplan-Meier法估计无复发生存期(RFS)和累积局部肿瘤进展发生率(LTP)，采用log-rank检验进行比较。根据肿瘤部位，比较两种治疗方式的治疗效果。

251例LLR治疗的患者肿瘤位置分布为血管周围33例，包膜下135例，非包膜下及非血管周围52例，血管周围及包膜下31例。采用p-RFA治疗的315例患者中，肿瘤位置为血管周围64例，包膜下93例，非包膜下和非血管周围144例，血管周围和包膜下14例;两组的位置分布具有统计学意义(p <0.001)。

251例LLR患者的1年、2年和3年总生存率分别为100、99.5和97.9%。315例接受p-RFA治疗的患者的1年、2年和3年的总生存率分别为99.0、98.3和97.2%。LLR和p-RFA之间的总生存期无显著差异(p = 0.160)。p-RFA组的并发症发生率明显低于LLR组(5.1 vs. 10.0%，p = 0.026)。

251例LLR患者的1年、2年和3年RFS率分别为89.9、82.7和74.4%，显著高于315例p-RFA患者的85.4、73.2和66.0% (p = 0.013)。LLR后1年、2年和3年累计LTP发生率分别为1.6、2.1和2.1%，而p-RFA后观察到的发生率分别为4.5、8.4和9.9%;这种差异具有统计学意义(p <0.001)。

           RFS和LTP

LLR治疗以下部位肿瘤的RFS显著优于p-RFA：包膜下的(3年RFS: 73.9和63.7%,p = 0.045)；血管周围的(3年RFS: 68.0和57.6%,p = 0.043)；以及肝脏前下外侧部(3年RFS: 73.8和63.1%,p = 0.003)。同样，LLR治疗以下部位肿瘤的LTP显著低于p-RFA：包膜下(3年累计LTP发生率:1.9 vs. 8.8%， p = 0.012)；血管周围(3年累计LTP发生率:0.0 vs. 17.2%， p = 0.007)；以及位于肝脏前下外侧部 (3年累积LTP发生率:0.0 vs. 10.7%， p<0.001)。但是，对于非包膜下和非血管周肿瘤， LLR和p-RFA之间的LTP率没有显著差异(p = 0.482)；在肝脏后外侧部分肿瘤两组也没有统计学差异(p = 0.380)。

          不同部位RFS和LTP

经过匹配后，LLR组和p-RFA组的总生存率无显著差异(p = 0.496)。118例LLR患者的1年、2年和3年RFS率分别为87.0、77.7和65.5%，与118例p-RFA患者的85.1、73.6和62.9%的RFS率也没有显著差异(p = 0.339)。但是，即使在倾向评分匹配后，118例接受LLR的患者与接受p-RFA的患者相比LTP累积发生率显著降低(2.6% vs. 11.6%，p = 0.017)。

          匹配后RFS和LTP

综上，研究表明，对于包膜下、血管周和肝前外侧部的单个小HCC, LLR比p-RFA能更好地控制局部肿瘤，因此可能是这些肿瘤的首选治疗方案。

原始出处：

Lee DH, Kim JW, Lee JM, et al. Laparoscopic Liver Resection versus Percutaneous Radiofrequency Ablation for Small Single Nodular Hepatocellular Carcinoma: Comparison of Treatment Outcomes. Liver Cancer. 2021 Feb;10(1):25-37. doi: 10.1159/000510909. Epub 2021 Jan 14. PMID: 33708637; PMCID: PMC7923879.

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    2022-05-13 shanyongle

    #ACE#

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    2022-04-14 yankaienglish

    #小肝癌#

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href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531935, encodeId=82dd153193561, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597771, encodeId=2ce4159e7711a, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=)]
    2022-01-25 jml2009

    #ACER#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1656074, encodeId=268516560e4b4, content=<a href='/topic/show?id=2a011829d7' target=_blank style='color:#2F92EE;'>#ACE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1829, encryptionId=2a011829d7, topicName=ACE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=635024767990, createdName=shanyongle, createdTime=Fri May 13 05:59:56 CST 2022, time=2022-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069730, encodeId=66ba2069e3016, content=<a href='/topic/show?id=e72e4e09945' target=_blank style='color:#2F92EE;'>#小肝癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47099, encryptionId=e72e4e09945, topicName=小肝癌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ebc122, createdName=yankaienglish, createdTime=Thu Apr 14 13:59:56 CST 2022, time=2022-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1779350, encodeId=a3f41e79350be, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Tue Jan 25 01:59:56 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1926429, encodeId=b349192642992, content=<a href='/topic/show?id=a6ba8118009' target=_blank style='color:#2F92EE;'>#肝切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81180, encryptionId=a6ba8118009, topicName=肝切除)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Sat May 07 15:59:56 CST 2022, time=2022-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1778974, encodeId=e32e1e78974de, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Wed Dec 15 02:59:56 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276490, encodeId=fef512e64904a, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279967, encodeId=3a4612e99679e, content=<a href='/topic/show?id=0b0546822fd' target=_blank style='color:#2F92EE;'>#射频消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46822, encryptionId=0b0546822fd, topicName=射频消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc7a157, createdName=jinweidong, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421873, encodeId=410b14218e319, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531935, encodeId=82dd153193561, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597771, encodeId=2ce4159e7711a, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=)]
    2022-05-07 changfy

    #肝切除#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1656074, encodeId=268516560e4b4, content=<a href='/topic/show?id=2a011829d7' target=_blank style='color:#2F92EE;'>#ACE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1829, encryptionId=2a011829d7, topicName=ACE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=635024767990, createdName=shanyongle, createdTime=Fri May 13 05:59:56 CST 2022, time=2022-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069730, encodeId=66ba2069e3016, content=<a href='/topic/show?id=e72e4e09945' target=_blank style='color:#2F92EE;'>#小肝癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47099, encryptionId=e72e4e09945, topicName=小肝癌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ebc122, 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encryptionId=a6ba8118009, topicName=肝切除)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Sat May 07 15:59:56 CST 2022, time=2022-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1778974, encodeId=e32e1e78974de, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Wed Dec 15 02:59:56 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276490, encodeId=fef512e64904a, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279967, encodeId=3a4612e99679e, content=<a href='/topic/show?id=0b0546822fd' target=_blank style='color:#2F92EE;'>#射频消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46822, encryptionId=0b0546822fd, topicName=射频消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc7a157, createdName=jinweidong, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421873, encodeId=410b14218e319, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531935, encodeId=82dd153193561, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597771, encodeId=2ce4159e7711a, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=)]
    2021-12-15 jml2009

    #ACER#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1656074, encodeId=268516560e4b4, content=<a href='/topic/show?id=2a011829d7' target=_blank style='color:#2F92EE;'>#ACE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1829, encryptionId=2a011829d7, topicName=ACE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=635024767990, createdName=shanyongle, createdTime=Fri May 13 05:59:56 CST 2022, time=2022-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069730, encodeId=66ba2069e3016, content=<a href='/topic/show?id=e72e4e09945' target=_blank style='color:#2F92EE;'>#小肝癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47099, encryptionId=e72e4e09945, topicName=小肝癌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ebc122, 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encryptionId=a6ba8118009, topicName=肝切除)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Sat May 07 15:59:56 CST 2022, time=2022-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1778974, encodeId=e32e1e78974de, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Wed Dec 15 02:59:56 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276490, encodeId=fef512e64904a, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279967, encodeId=3a4612e99679e, content=<a href='/topic/show?id=0b0546822fd' target=_blank style='color:#2F92EE;'>#射频消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46822, encryptionId=0b0546822fd, topicName=射频消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc7a157, createdName=jinweidong, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421873, encodeId=410b14218e319, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531935, encodeId=82dd153193561, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597771, encodeId=2ce4159e7711a, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=)]
    2021-10-02 xinxin088

    #腹腔镜#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1656074, encodeId=268516560e4b4, content=<a href='/topic/show?id=2a011829d7' target=_blank style='color:#2F92EE;'>#ACE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1829, encryptionId=2a011829d7, topicName=ACE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=635024767990, createdName=shanyongle, createdTime=Fri May 13 05:59:56 CST 2022, time=2022-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069730, encodeId=66ba2069e3016, content=<a href='/topic/show?id=e72e4e09945' target=_blank style='color:#2F92EE;'>#小肝癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47099, encryptionId=e72e4e09945, topicName=小肝癌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ebc122, createdName=yankaienglish, createdTime=Thu Apr 14 13:59:56 CST 2022, time=2022-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1779350, encodeId=a3f41e79350be, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Tue Jan 25 01:59:56 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1926429, encodeId=b349192642992, content=<a href='/topic/show?id=a6ba8118009' target=_blank style='color:#2F92EE;'>#肝切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81180, encryptionId=a6ba8118009, topicName=肝切除)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Sat May 07 15:59:56 CST 2022, time=2022-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1778974, encodeId=e32e1e78974de, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Wed Dec 15 02:59:56 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276490, encodeId=fef512e64904a, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279967, encodeId=3a4612e99679e, content=<a href='/topic/show?id=0b0546822fd' target=_blank style='color:#2F92EE;'>#射频消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46822, encryptionId=0b0546822fd, topicName=射频消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc7a157, createdName=jinweidong, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421873, encodeId=410b14218e319, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531935, encodeId=82dd153193561, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597771, encodeId=2ce4159e7711a, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=)]
    2021-10-02 jinweidong

    #射频消融#

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1656074, encodeId=268516560e4b4, content=<a href='/topic/show?id=2a011829d7' target=_blank style='color:#2F92EE;'>#ACE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1829, encryptionId=2a011829d7, topicName=ACE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=635024767990, createdName=shanyongle, createdTime=Fri May 13 05:59:56 CST 2022, time=2022-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069730, encodeId=66ba2069e3016, content=<a href='/topic/show?id=e72e4e09945' target=_blank style='color:#2F92EE;'>#小肝癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47099, encryptionId=e72e4e09945, topicName=小肝癌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ebc122, 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encryptionId=a6ba8118009, topicName=肝切除)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Sat May 07 15:59:56 CST 2022, time=2022-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1778974, encodeId=e32e1e78974de, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Wed Dec 15 02:59:56 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276490, encodeId=fef512e64904a, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279967, encodeId=3a4612e99679e, content=<a href='/topic/show?id=0b0546822fd' target=_blank style='color:#2F92EE;'>#射频消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46822, encryptionId=0b0546822fd, topicName=射频消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc7a157, createdName=jinweidong, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421873, encodeId=410b14218e319, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531935, encodeId=82dd153193561, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597771, encodeId=2ce4159e7711a, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=)]
    2021-10-02 xiangyuzhou972

    #消融#

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1656074, encodeId=268516560e4b4, content=<a href='/topic/show?id=2a011829d7' target=_blank style='color:#2F92EE;'>#ACE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1829, encryptionId=2a011829d7, topicName=ACE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=635024767990, createdName=shanyongle, createdTime=Fri May 13 05:59:56 CST 2022, time=2022-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069730, encodeId=66ba2069e3016, content=<a href='/topic/show?id=e72e4e09945' target=_blank style='color:#2F92EE;'>#小肝癌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47099, encryptionId=e72e4e09945, topicName=小肝癌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ebc122, 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encryptionId=a6ba8118009, topicName=肝切除)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32d177, createdName=changfy, createdTime=Sat May 07 15:59:56 CST 2022, time=2022-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1778974, encodeId=e32e1e78974de, content=<a href='/topic/show?id=58421840ab' target=_blank style='color:#2F92EE;'>#ACER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1840, encryptionId=58421840ab, topicName=ACER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Wed Dec 15 02:59:56 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276490, encodeId=fef512e64904a, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279967, encodeId=3a4612e99679e, content=<a href='/topic/show?id=0b0546822fd' target=_blank style='color:#2F92EE;'>#射频消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46822, encryptionId=0b0546822fd, topicName=射频消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc7a157, createdName=jinweidong, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421873, encodeId=410b14218e319, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1531935, encodeId=82dd153193561, content=<a href='/topic/show?id=264d46825d7' target=_blank style='color:#2F92EE;'>#射频消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46825, encryptionId=264d46825d7, topicName=射频消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7b312291842, createdName=zhanglin3083, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597771, encodeId=2ce4159e7711a, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Sat Oct 02 00:59:56 CST 2021, time=2021-10-02, status=1, ipAttribution=)]
    2021-10-02 zhanglin3083

    #射频消融治疗#

    0

  10. 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    2021-10-02 zhishijing

    #消融治疗#

    0

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