国际肝胆胰疾病杂志（英文版）
國際肝膽胰疾病雜誌（英文版）
국제간담이질병잡지（영문판）
Hepatobiliary & Pancreatic Diseases International
2014年
2期
219-222
,共4页
hepatocellular carcinoma%hepatectomy%liver cirrhosis
BACKGROUND:?One?of?the?best?treatments?for?isolated?hepato- cellular?carcinoma?in?the?caudate?lobe?is?major?hepatectomy?with?caudate?lobectomy,?but?it?is?not?suitable?for?patients?with?poor?liver?function?reserve.?Isolated?caudate?lobectomy,?which?is?a?very?dififcult?operation,?is?thus?an?alternative?option. <br> METHODS:?Here?we?report?an?isolated?caudate?lobectomy?with?an?anterior?approach?in?the?treatment?of?a?large?hepatocellular?carcinoma? with? underlying? cirrhosis,? with? focus? on? the?technical?aspects. <br> RESULTS:?In?the?operation,?both?the?left?and?right?lobes?of?the?liver?were?mobilized.?Hepatotomy?was?done?along?the?round?ligament?where?parenchymal?transection?was?minimal.?After?exposure?of?the?left?and?middle?hepatic?veins?and?the?hilar?plate,?the?caudate?lobe?and?the?tumor?were?resected?en bloc?with?a?5-mm?margin. <br> CONCLUSION:?Isolated?caudate?lobectomy?can?be?performed?safely?with?this?anterior?approach?on?patients?with?poor?liver?function?reserve.
