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改良式常温下无血切肝术的建立和应用

THE DEVELOPMENT AND APPLICATION OF A MODIFIED TECHNIC FOR NORMOTHERMIC AVASCULAR HEPATIC RESECTION
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摘要 作者对中央型肝脏肿瘤无血切肝技术的研究成果:根据脾颈静脉分流减压门静脉系统的常温下狗全肝血流阻断的实验研究,提出犬全肝血流阻断安全时限可达45分钟的概念,因而对传统的Heaney无血切肝技术作了相应的改进,使手术操作简化,更为实用及易于推广。近两年采用该研究成果,成功为10例常规技术无法切除的肝肿瘤病人进行了肝切除手术,使我科肝脏切除外科技术达到了一个新的水平。 In past two years, the establishment and application of a modified technic for normo-thermic avascular hepatic resection for the central hepatic tumours in this unit were reported. Based on an experimental study for canine normothermic total hepatic vascular exclusion on the condition of the portal decompression by means of jugulo-splenic shunting, a new concept that the critical length of the hepatic ischemic period with NTHVE should be 45 minutes was proposed and the conventional technic of Heaney's avascular hepatic resection was modified. This new technic is simpler, safer and more practical than the conventional one. The authors have already employed the technic for 10 extensive hepatec-tomies in the surgical practice and reached a new level of hepatic surgery in this unit.
出处 《中山医科大学学报》 CSCD 1991年第1期1-4,共4页 Academic Journal of Sun Yat-sen University of Medical Sciences
关键词 肝肿瘤 中央型 无血切肝术 Avascular resection Central hepatic tumour Total hepatic vascular exclusion Safe period of warm hepatic ischemia
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