中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2012年
6期
552-555
,共4页
刘斌%李江%蔡晓蓓%梁云
劉斌%李江%蔡曉蓓%樑雲
류빈%리강%채효배%량운
肝肿瘤%肝切除术
肝腫瘤%肝切除術
간종류%간절제술
Liver neoplasms%Mesohepatectomy
Surgical resection remains the only curative option of treatment for hepatocellular carcinoma,but centrally located tumors remain problematic.Extended right or left hepatectomy removes 60% to 85% of the hepatic parenchyma and is associated with more hepatic failure.Mesohepatectomy,resection of central hepatic segments (Couinaud's segments Ⅳ,Ⅴ,Ⅷ) and leaving the right and left segments in situ,preserves more functional hepatic tissues than extended hepatectomy.Despite its technical demands,mesohepatectomy should be considered as an alternative treatment for central huge hepatic tumors.