肝门区肿瘤手术治疗14例

Operative treatment on 14 cases with tumors closed to hepatic hilar

目的总结肝门区肿瘤切除的手术经验及并发症的防治。方法对手术切除的14例紧贴肝门区的肿瘤手术切除的并发症进行回顾性分析,对手术方法、经验教训及防治进行总结和讨论。结果术中术后出现大出血2例、胆瘘1例、术后肝衰1例、切缘阳性1例,无术中死亡。结论此类手术难度及风险大,要重视术前评估及术前准备,术中仔细操作,提高手术安全性,防止并发症发生。

Objective To sum up operative experience and prevention of complications while re.secting the hepatic hilar tumor. Methods 14 cases with hepatic hilar tumor were analyzed in respect of operative method,complications,experience and prevention of complications. Results Some peri-operative complications happened,such as massive hemorrhage in 2 cases, billiary fistula in 1 case, hepatic failure in 1 case and tumor remained at resection edge in 1 case. No patients died during the operation. Conclusion The resection of hepatic hilar tumor is very difficult and risky,safety of surgery can be improved by paying attemion to pre-operative evaluation and preparation, as well as carefulness during operation.