摘要
目的探讨术前肿瘤供血动脉及门静脉血管内阻断在腹腔镜肝切除中的应用。方法1例肝海绵状血管瘤及1例肝癌患者,于术前1h 数字减影下经股动脉插管入肝动脉,造影后超选择至肿瘤的供血动脉,用明胶海绵行动脉栓塞,动脉栓塞完毕即经 B 超引导穿刺肿物的供血门静脉,超声监视下注入 TH 生物胶5ml,栓塞肿瘤的供血门静脉干,而后在腹腔镜下行肝肿瘤切除。结果经血管内阻断后分离肝组织时出血明显减少,病例1术中出血约300ml,病例2术中出血约200 ml,手术经过顺利,术后恢复良好。结论术前肿瘤供血动脉及门静脉的血管内阻断对减少腹腔镜肝切除术中出血具有极其重要的作用。
Objective To explore the value of preoperative management of tumor blood-supplying ves- sels in laparoscopic liver resection.Methods Of the two patients included in this study,one was with spongy he- mangioma and the other with liver cancer.After the tumor blood-supplying artery was defined by performing DSA in the two patients,the artery was embolized by gelfoam one hour before the operation.Then the tumor blood-supply- ing portal vein was embolized by TH biological colloid under the guidance of ultrasonography.Finally,the two pa- tients were operated on with laparoscopic liver tumor resection.Results Hemorrhage was significantly decreased during the operation.Volume of hemorrhage was about 300 ml in the first patient and 200 ml in the second one. The operation was smooth and recovery good.Conclusions The premanagement of embolisms for tumor blood- supplying vessels can significantly decrease the volume of hemorrhage during laparoscopic liver resection.
出处
《中华肝胆外科杂志》
CAS
CSCD
2001年第7期391-392,共2页
Chinese Journal of Hepatobiliary Surgery
