选择性出入肝血流阻断在肝切除手术中的应用

Selective exclusion of hepatic outflow and inflow in hepatectomy

目的进一步改进无血切肝技术,提高肝脏巨大肿瘤患者的切除率和手术耐受性。方法回顾分析16例肝脏巨大肿瘤切除术,讨论选择性出入肝血流阻断方式在肝切除中的应用。结果巨大肝脏肿瘤在肝切除手术中,应用选择性出入肝血流阻断术,术中出血少,患者耐受性好,提高了肝脏手术的切除率。结论应用选择性出入肝血流阻断术可以提高肝脏巨大肿瘤的切除率和手术耐受性,为肝脏手术提供了一个合理安全的术式。

Objective To improve the resectable rate of massive hepatic tumors and operative tolerance of hepatectomy in the treatment of advanced liver cancers. Methods Sixteen cases of massive hepatic tumors were reviewed. The selective exclusion of hepatic outflow and inflow in hepatectomy was discussed. Results All the patients had normal course after the operative procedure and no hepatic coma or other severe hepatic disturbances were observed. Conclusion While the selective exclusion of hepatic outflow and inflow were applied, the resectable rate of massive hepatic tumors and operative tolerance of hepatectomy were improved.