摘要
目的总结肝脏Ⅸ段、Ⅰ段手术切除的技巧。方法回顾性总结2001年10月～2003年12月施行的47例Ⅸ段、Ⅰ段切除的临床资料。结果44例(93.6%)行Ⅸ或Ⅰ段及左右肝叶联合切除,另3例单纯行Ⅸ段切除;切除Ⅸ段者取右侧入路,共22例(46.8%),切除Ⅰ段者采用左侧入路,共25例(53.2%)。平均失血量270ml,无手术死亡病例,无胆漏及胆道出血等严重并发症。结论取右路或左路行Ⅸ、Ⅰ段切除,只要技术熟练,解剖熟悉,术野显露满意,手术是安全可行的。
Objective To explore the surgical technique of Ⅸ or Ⅰ segmentectomy. Method 31 cases underwent Ⅸ or Ⅰ segmentectomy from October 2001 to December 2003 were retrospectively reviewed. Results 44 out of 47（93.6% ） were performed Ⅸ or Ⅰ segmentectomy in combination with other segmentectomy, the rest 3 cases underwent isolated Ⅸ segmentectomy. Hepatectomy approach was through right lateral in 22 cases（46.8% ） and left in 25 cases（53.2% ）. The average amount of blood loss was 270 ml. There was no severe complication such as dead, biliary leakage or hematobilia. Conclusion Being skilled technique, familiarity with caudate anatomy and broader operative scope, it is feasible and safe for resection of Ⅸ or Ⅰ segmentectomy via either left or right approach to provide the presence of accomplished liver surgeon.
出处
《中国现代手术学杂志》
2005年第6期411-414,共4页
Chinese Journal of Modern Operative Surgery
