CAJ | 학술논문

本文报道了10例在常温下阻断腹主动脉,切除了用常规方法难以切除或无法切除的肿瘤的手术经验,结合14只犬的动物实验数据,提出常温下血管阻断的可行性及注意事项.
본문보도료10례재상온하조단복주동맥,절제료용상규방법난이절제혹무법절제적종류적수술경험,결합14지견적동물실험수거,제출상온하혈관조단적가행성급주의사항.
The fundamental basis for abdominal aorta clamping under normothermia was established by experiment studies with 14cross-bred dogs. The data of hemodynamic ehanges, blood gas,liver and kidney function test were taken before,during and three days after operation. These studies demonstrate that complete occlusion of the liver blood flow for one hour may cause a compensable acidosis and damage to liver function. This article reports surgical removal of liver(4)and malignant pelvic(6)tumors with above-mentioned method in 10 cases from Dec. 1984 to Aug. 1987.The tumors were all resected under normothermia and abdominal aorta clamped at the level of aortic hiatus and bifurcation of aorta respectively. When using the standard method focr the 3 eases in which the pelvic malignant tumors were adherent round the main vessels closely,it was considered that the tumors were unresectable. The author states the advantages of this method are dissection with less bleeding and unhurried suturation of vessels in case io injury.