中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
4期
20-21
,共2页
白东晓%李保中%肖建安%李守淼%刘志强%黄天臣
白東曉%李保中%肖建安%李守淼%劉誌彊%黃天臣
백동효%리보중%초건안%리수묘%류지강%황천신
绕肝提拉技术%选择性半肝阻断%前入路%半肝切除
繞肝提拉技術%選擇性半肝阻斷%前入路%半肝切除
요간제랍기술%선택성반간조단%전입로%반간절제
Liver hanging maneuver%Selective hemihepatic occlusion%Anterior approach%Hemihepatectomy
目的 探讨肝脏巨大肿瘤切除术中血流阻断技术的安全性及可行性.方法 对21例巨大肝肿瘤患者行左、右半肝切除,采用前入路法,应用绕肝提拉技术及选择性半肝阻断.结果 术中出血量少,手术时间短,术后肝功能恢复快,全部患者均未出现肝、肾功能不全,无手术死亡.结论 绕肝提拉技术及选择性半肝阻断在前入路半肝切除术中的联合应用,是一种安全有效的无血切肝方法.
目的 探討肝髒巨大腫瘤切除術中血流阻斷技術的安全性及可行性.方法 對21例巨大肝腫瘤患者行左、右半肝切除,採用前入路法,應用繞肝提拉技術及選擇性半肝阻斷.結果 術中齣血量少,手術時間短,術後肝功能恢複快,全部患者均未齣現肝、腎功能不全,無手術死亡.結論 繞肝提拉技術及選擇性半肝阻斷在前入路半肝切除術中的聯閤應用,是一種安全有效的無血切肝方法.
목적 탐토간장거대종류절제술중혈류조단기술적안전성급가행성.방법 대21례거대간종류환자행좌、우반간절제,채용전입로법,응용요간제랍기술급선택성반간조단.결과 술중출혈량소,수술시간단,술후간공능회복쾌,전부환자균미출현간、신공능불전,무수술사망.결론 요간제랍기술급선택성반간조단재전입로반간절제술중적연합응용,시일충안전유효적무혈절간방법.
Objective To investigate the feasibility and safety of blood flow occlusion in huge tumor hepatectomy.Methods Twenty-one cases of huge hepatic tumor were treated with liver hanging maneuver and selective hemihepatic occlusion during anterior approach.Results The blood loss was little during the operation,operation time was short,liver function recovered quickly after operation,there was no liver or renal dysfunction,no death caused by operation occured.Conclusions The application of liver hanging maneuver and selective hemihepatic occlusion during anterior approach hemihepatectomy is a safe and effective method for bloodlese hepatectomy.
