摘要
目的探讨Glisson蒂横断式切肝技术在儿童肝母细胞瘤切除术中应用的可行性。方法儿童肝母细胞瘤15例,肿瘤最大直径5.8~12.5 cm,其中12例术前经2~4个周期化疗;15例患儿均行Glisson蒂横断式肝切术,记录肿瘤切除程度、手术时间、术中出血量等。结果 15例患儿手术过程均顺利,肿瘤均获R0切除,手术时间70~190(115±29)min,术中出血量10~200(66±44)mL;无围术期出血死亡病例。术后并发肝切面包裹性积液1例、低流量胆瘘1例,给予引流后治愈。术后随访1~28个月,2例复发,其中1例复发合并肺转移。结论 Glisson蒂横断式切肝技术治疗肝母细胞瘤安全、有效,可作为小儿精准肝切除的首选治疗方法。
Objective To explore the feasibility of Glissonean pedicle transection method in hepatoblastoma resection in children. Methods Fifteen children with hepatoblastoma were performed Glissonean pedicle transection. The maximal diameter of tumor was 5.8 to 12.5 cm. Twelve children received chemotherapy for 2 to 4 courses preoperatively. The grading of tumor resection, operation time and intraoperative blood loss were recorded. Results All operations were successfully accomplished. R0 resection was achieved in all patients. The operation lasted 70 to 190(115±29) min. The intraoperative blood loss was 10 to 200(66±44) mL. No death due to perioperative haemorrhage occurred. Encapsulated effusion occurred in 1 patient and low-flow bile leakage occurred in 1, and both of them were cured by drainage. The follow-up survey lasted 1 to 28 months, showing relapse in 2 patients in which 1 patient was complicated with pulmonary metastasis. Conclusion Glissonean pedicle transaction is safe, simple, rapid and effective for hepatoblastoma, and it could be the first choice for accurate hepatectomy in children.
作者
鲍俊涛
秦璐莹
余海波
杨凯骅
张书峰
BAO Jun-tao;QIN Lu-ying;YU Hai-bo;YANG Kai-hua;ZHANG Shu-feng(Department of Pediatric Surgery,Henan Provincial People's Hospital,Zhengzhou University People's Hospital,Zhengzhou,Henan 450003,China;School of Nursing and Healthy,Zhengzhou University,Zhengzhou,Henan 450001,China;Department of Hepatobiliary Pancreatic Surgery,Henan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Zhengzhou,Henan 450003,China)
出处
《中华实用诊断与治疗杂志》
2021年第4期398-400,共3页
Journal of Chinese Practical Diagnosis and Therapy
基金
河南省医学科技攻关计划项目(2018020412)。
