摘要
近年来,由Heaney首先创用的全肝血流阻断的无血切肝术逐渐在国内得到应用,其对增加处理“中央型肝肿瘤”的安全性起到了有效的作用。传统的Heaney's法是在常温下阻断全肝血流之同时,亦阻断腹主动脉。临床上普遍接受的常温下入肝血流阻断的安全时限是10～20分钟。
The conventional technique of Heaney's avascular hepatic resection was modified based on an experimental study for canine normothermic total hepatic vascular exclusion. The main modifications described in this paper consisted of the cancellation of the synchronous vascular exclusion of the abdominal aorta and proper prolongation of the period of total hepatic vascular exclusion. The technique was successfully employed in 3 patients: 2 cases of primary hepatocellular carcinoma, 1 case of huge hepatic cavernous hemangioma.The clinical experience of the application of the technique was reported and discussed. This modified Heaney's technique is simpler and safer than the conventional one. It may increase the resectability for the 'Central Hepatic Tumors' (Segments Ⅰ, Ⅳ, Ⅷ of Gouinaud's classification) and have some practical clinical significances.
出处
《广东医学》
CAS
CSCD
1990年第5期10-12,共3页
Guangdong Medical Journal
