中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2012年
1期
55-57
,共3页
汪珍光%傅思源%周伟平%杨远%吴孟超
汪珍光%傅思源%週偉平%楊遠%吳孟超
왕진광%부사원%주위평%양원%오맹초
肝肿瘤%尾状叶%肝切除术%中央入路
肝腫瘤%尾狀葉%肝切除術%中央入路
간종류%미상협%간절제술%중앙입로
Liver neoplasms%Caudate lobe%Liver resection%Anterior hepatic transection
Total caudate lobectomy via anterior hepatic transection is still a new technique to resect the tumor in the caudate lobe,which is mastered only by few surgeons.The procedure was successfully performed on a 21-year old patient with focal nodular hyperplasia in caudate lobe.The right and left lobes were first mobilized,then the short hepatic veins were dissected to detach the caudate lobe from the retrohepatic vena cava.Then the liver was split anteriorly and the partial middle lobe was resected.With this process,the tumor was in the sight and we dissected it from the liver parenchyma.The inflow blood was occluded 3 times with a period of 29,27 and 27 minutes,respectively,with an interval of 5 minutes.The total blood loss during operation was 1000 ml.The patient recovered quickly without any complications.The technique for caudate lobectomy via anterior hepatic transection can improve the success rate and safety of caudate lobectomy and deserve clinical consideration.
