CAJ | 학술논문

北京协和医院肝脏外科于2012年4月10日成功完成1例巨大肝血管瘤切除手术,手术历时11h,肿瘤最长径为48 cm.该患者22年前曾因肝脏肿瘤行经胸、腹联合切口探查,但因术中出血较多未能切除肿瘤.该手术的成功受益于精准肝切除,包括CT血管重建技术、三维立体肝脏储备功能评估、术中控制性低中心静脉压以及精细肝切除操作技术的综合应用.
북경협화의원간장외과우2012년4월10일성공완성1례거대간혈관류절제수술,수술력시11h,종류최장경위48 cm.해환자22년전증인간장종류행경흉、복연합절구탐사,단인술중출혈교다미능절제종류.해수술적성공수익우정준간절제,포괄CT혈관중건기술、삼유입체간장저비공능평고、술중공제성저중심정맥압이급정세간절제조작기술적종합응용.
Hepatic hemangioma is a common benign tumor of liver,while hepatic hemangioma with a diameter ＞ 3 cm is rarely seen in clinical practice.A female patient with a giant hepatic hemangioma (diameter =48 cm) received tumor resection via chest and abdomen joint incision at the Peking Union Medical College Hospital on April 10,2012.The patient received exploratory laparotomy for hepatic tumor via chest and abdomen joint incision 22 years ago,while the operation was failed due to intraoperative bleeding.The success of the operation benefited from comprehensive application of computed tomography angiography reconstruction technique,three-dimensional liver reserve function assessment,intraoperative controlled low central venous pressure,total hepatic vascular exclusion and precise hepatectomy technique.