肝脏尾状叶巨大肿瘤切除手术经验

^The experience of resection of hepatic caudate lobe tumors

施行肝脏尾状叶巨大肿瘤手术４例．其中２例为肝脏多发性海绵状血管瘤．２例为原发性肝癌．术式：左或右半肝切除并肝尾叶切除２例；肝尾叶切除并肝左叶血管瘤剥除１例；巨大左肝尾状叶肿瘤切除、并左肝外叶切除、右肝小癌灶无水乙醇注射１例。１例出院后因癌复发转移．术后２．５个月死亡；３例治愈出院．经６～１７个月随访健在．肝尾状叶巨大瘤块切除是难度大、风险大的手术．本文介绍了具体操作的几点体会．并对难以切除的肝肿瘤行一期或二期手术问题提出自己的看法．

This article summarizes the experience with resection of 4 cases of giant hepatic caudate lobe tumors. There were 2 cases of giant hepatic multiple cavernous hemangioma and 2 cases of primary liver cancer.Total caudate lobectomics are performed in 3 cases and resection of left half of caudate lobe in one case.The good results were obtained in 3 cases while one case died 2. 5 months after oneration because recurrence of cancer.Owing to the difficulty and dangers of hepatic caudate lobe resection for Slant tumors, the author emphasizes the necessity of master the essentials of the anatomy of hepatic caudate lobe and that of operative techniques as well as the full preoperative preparations.