肝脏巨大肿瘤切除术中选择性出入肝血流阻断术的应用

Selective exclusion of hepatic outflow and inflow vessels in the hepatectomy

目的探讨应用选择性出入肝血流阻断术切除肝脏巨大肿瘤可行性和手术耐受性。方法分析23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。结果肝脏巨大肿瘤在肝切除术中应用选择性出入肝血流阻断术,术中出血少,病人耐受性好,提高了肝脏手术的切除率。结论选择性出入肝血流阻断术可提高肝脏巨大肿瘤的切除率和减少了对残肝的损伤,该术式又为肝脏手术提供了一个合理安全的术式。

Objective To elevate the feasibility of hepatectomy for the massive hepatic tumors with selective exclusion of hepatic outflow and inflow vessels. Methods Twenty-three cases of massive hepatic tumors were reviewed. The selective exclusion of hepatic outflow and inflow vessels in the hepatectomy was discussed. Resuits All the patients had normal operative procedure without hepatic coma after operation. Conclusion While the selective exclusion of hepatic outflow and inflow vessels were applied, the resectable rate and operative tolerance of massive hepatic tumor were elevated. vessels;hepatic tumor