潍坊医学院学报
濰坊醫學院學報
유방의학원학보
JOURNAL OF WEIFANG MEDICAL COLLEGE
2013年
3期
191-193
,共3页
尹建建*%杜福田%马雨禾
尹建建*%杜福田%馬雨禾
윤건건*%두복전%마우화
解剖性肝切除术%Glisson蒂横断技术%肝肿瘤,原发性
解剖性肝切除術%Glisson蒂橫斷技術%肝腫瘤,原髮性
해부성간절제술%Glisson체횡단기술%간종류,원발성
Anatomical hepatectomy%Glissonean pedicle transection technique%Primary liver cancer
目的 探讨Glisson蒂横断技术在解剖性肝切除中的应用价值.方法 回顾性分析2010年6月~2012年12月期间采用Glisson蒂横断技术行解剖性肝切除术病人23例的临床资料,其中原发性肝癌13例,肝内胆管结石10例.采用Glisson蒂横断技术分别行左半肝切除8例、右半肝切除3例、肝右后叶(CouinaudⅥ,Ⅶ段)切除2例、肝Ⅵ段切除3例、肝Ⅱ段切除3例、肝Ⅲ段切除4例,观察其手术时间、术中出血量以及术后住院时间情况.结果 本组病例均成功实施Glisson蒂横断技术行解剖性肝切除术,术中无Glisson鞘内血管或胆管的损伤.平均手术时间120(90~190)min;术中平均失血量400(150~850)ml;术后平均住院时间12.6(10~17)d.术后无严重手术并发症和死亡病例,均痊愈出院.结论 Glisson蒂横断技术基于更为科学的临床肝脏解剖分段理念,能够有效地缩短手术时间,控制肝切除手术的术中出血量,有利于术后肝功能的恢复,操作技术简便、快速、安全,值得普遍推广应用.
目的 探討Glisson蒂橫斷技術在解剖性肝切除中的應用價值.方法 迴顧性分析2010年6月~2012年12月期間採用Glisson蒂橫斷技術行解剖性肝切除術病人23例的臨床資料,其中原髮性肝癌13例,肝內膽管結石10例.採用Glisson蒂橫斷技術分彆行左半肝切除8例、右半肝切除3例、肝右後葉(CouinaudⅥ,Ⅶ段)切除2例、肝Ⅵ段切除3例、肝Ⅱ段切除3例、肝Ⅲ段切除4例,觀察其手術時間、術中齣血量以及術後住院時間情況.結果 本組病例均成功實施Glisson蒂橫斷技術行解剖性肝切除術,術中無Glisson鞘內血管或膽管的損傷.平均手術時間120(90~190)min;術中平均失血量400(150~850)ml;術後平均住院時間12.6(10~17)d.術後無嚴重手術併髮癥和死亡病例,均痊愈齣院.結論 Glisson蒂橫斷技術基于更為科學的臨床肝髒解剖分段理唸,能夠有效地縮短手術時間,控製肝切除手術的術中齣血量,有利于術後肝功能的恢複,操作技術簡便、快速、安全,值得普遍推廣應用.
목적 탐토Glisson체횡단기술재해부성간절제중적응용개치.방법 회고성분석2010년6월~2012년12월기간채용Glisson체횡단기술행해부성간절제술병인23례적림상자료,기중원발성간암13례,간내담관결석10례.채용Glisson체횡단기술분별행좌반간절제8례、우반간절제3례、간우후협(CouinaudⅥ,Ⅶ단)절제2례、간Ⅵ단절제3례、간Ⅱ단절제3례、간Ⅲ단절제4례,관찰기수술시간、술중출혈량이급술후주원시간정황.결과 본조병례균성공실시Glisson체횡단기술행해부성간절제술,술중무Glisson초내혈관혹담관적손상.평균수술시간120(90~190)min;술중평균실혈량400(150~850)ml;술후평균주원시간12.6(10~17)d.술후무엄중수술병발증화사망병례,균전유출원.결론 Glisson체횡단기술기우경위과학적림상간장해부분단이념,능구유효지축단수술시간,공제간절제수술적술중출혈량,유리우술후간공능적회복,조작기술간편、쾌속、안전,치득보편추엄응용.
@@@@ Objective To evaluate the value of Glissonean pedicle transection technique in anatomical hepatectomy .Methods From June 2010 to December 2012,the clinical data of 23 patients underwent anatomical hepatectomy using Glissonean pedicle transection technique in our department were retrospectively analyzed ,including 13 patients of hepatocarcinoma and 10 patients of hepatolithiasis.In the 23 patients,the operative procedures included the left hemihepatectomy (n=8) and the right hemihepatectomy (n=3),the operative proce-dures included the right posterior hepatolobectomy (CouinaudⅥ,Ⅶ,n=2),the segmentectomy of Ⅵ(n=3),the segmentectomy of Ⅱ(n=3),the segmentectomy of Ⅲ(n=4).The data of average operation time ,mean blood loss and mean postoperative hospital stay was observed . Results All of the 23 patients were successfully performed anatomical hepatectomy using Glissonean pedicle transection technique without injury of the blood vessels or biliary ducts during operation .The average operative time was 120(90~190)min,the mean blood loss was 440 (150~800)ml,and the mean postoperative hospital stay was 12.6(10~17)days.As a result,the patients had no serious postoperative com-plications and were all cured .Conclusion Glissonean pedicle transection technique based on the reasonable three segments of liver anato -my,can effectively shorten the operation time ,reduce intraoperative blood loss ,and relieve liver damage significantly.It shows that the Glisso-nean pedicle transection technique for anatomical hepatectomy is an easy ,safe and prompt operation,which can be widely used in clinic .
