摘要
目的评估中肝切除术在肝脏中部肿瘤治疗的临床效果。方法中肝叶肿瘤患者18例,均采用手术治疗。术中常温下肝门一次性阻断切肝4例;间歇阻断12例;全肝血流阻断,肝上、肝下下腔静脉套带2例。对手术后恢复过程及随访结果进行评价。结果 18例行中肝叶切除手术,手术时间180~270分钟,平均(225±109)分钟;术中出血量400~2000 ml,平均(650±180)ml。术后并发症发生率为33.3%,并发肝断面渗血、胸腔积液、胆漏各2例。无围手术期死亡。17例患者术后获随访,其中7例死于肿瘤复发转移,2例无瘤存活41个月和50个月。结论中肝叶切除手术复杂,准确的术前评估,细致的肝脏切除操作,适当的肝脏血流阻断技术,是中肝切除术安全可行的必要条件。
Objective To evaluate the clinical effect of mesohepatectomy for the treatment of central located hepatic tumor,and share the technique detail of surgical operation. Methods Analyze the data of 18 patients underwent mesohepatectomy in our department from December 2006 to March 2016.The technique details of the operation were outlined so as to reduce blood loss or complications in intraoperative and postoperative. The post-operative course and follow-up data were also collected and analyzed.Results The hepatic tumor of 18 patients were successful resected. The duration of operation ranged from180 to 270 min with mean time of（ 225 ± 109） min. The volume of blood loss during operation ranged from 400 to 2000 ml with mean volume of（ 650 ± 180） ml. There was no perioperative death,and the rate of postoperative complication was 33. 3%. Conclusion Mesohepatectomy is a complicated operation,it＇s necessary to perform the preoperative evaluation and preparation accurately,and block the liver blood flow appropriately during operation for the safety of operation.
出处
《临床外科杂志》
2017年第12期908-910,共3页
Journal of Clinical Surgery
关键词
肝中央区肿瘤
中肝切除术
tumor of liver
mesohepatectomy
centrality
