CAJ | 학술논문

目的探讨肝静脉根部及肝后下腔静脉损伤救治的有效方法.方法 2006年1月1日至2012年12月31日我们相继处理了6例此类型损伤,针对肝静脉根部及肝后下腔静脉损伤部位的不同采用不同的手术切口及全肝血流阻断方法.同时复习国内外处理此类型损伤的治疗方法.结果 6例患者中3例死亡,其中术中死亡2例,术后死亡1例,存活3例.对于肝静脉根部及肝后下腔静脉损伤虽然有一些显露和止血的方法,但此类损伤的病死率仍难以降低.肝静脉根部及肝后下腔静脉损伤仍然是外科医生的巨大挑战.结论 “便捷的创伤部位显露”以及“快速有效的止血”是手术成功的关键.经典开腹手术和血管介入技术的结合或许可为此类损伤的救治打开一道新的大门.
목적 탐토간정맥근부급간후하강정맥손상구치적유효방법.방법 2006년1월1일지2012년12월31일아문상계처리료6례차류형손상,침대간정맥근부급간후하강정맥손상부위적불동채용불동적수술절구급전간혈류조단방법.동시복습국내외처리차류형손상적치료방법.결과 6례환자중3례사망,기중술중사망2례,술후사망1례,존활3례.대우간정맥근부급간후하강정맥손상수연유일사현로화지혈적방법,단차류손상적병사솔잉난이강저.간정맥근부급간후하강정맥손상잉연시외과의생적거대도전.결론 “편첩적창상부위현로”이급“쾌속유효적지혈”시수술성공적관건.경전개복수술화혈관개입기술적결합혹허가위차류손상적구치타개일도신적대문.
Objective To study the effective methods to treat injuries to the roots of hepatic veins and retrohepatic vena cava (RHC).Methods From January 1,2006 to December 31,2012,we treated 6 cases with injuries to the roots of hepatic veins and RHC.Different approaches and methods were used to achieve hepatic vascular exclusion (HVE) according to the sites of the injuries.We also reviewed the experience reported in the medical literature.Results Of 6 patients,2 died intraoperatively,1 died postoperatively,3 patients survived.Although there are effective methods to treat injuries to the roots of hepatic veins and RHC,the mortality rate is still high.It is still a major challenge for surgeons to treat these injuries.Conclusions Adequate exposure of the injured site and rapid and effective control of bleeding are the keys to success.The combined use of open surgery and vascular interventional techniques may open a new approach to deal with these injuries in the future.