摘要
目的:分析18岁以下青少年肝病患者肝脏切除的相关因素.方法:对2004-06/2007-03在我中心接受手术的23例18岁以下青少年肝脏疾病患者的病因学,手术方式,相关情况进行分析,以明确该年龄组肝脏切除的相关规律.结果:23例中,原发性肝癌6例,肝母细胞瘤7例,肝淋巴瘤3例,肝肉瘤2例,肝海绵状血管瘤3例,局灶性结节性增生2例;行右半肝切除5例,左半肝切除4例,右三叶肝切除1例,肝左叶加尾叶切除2例,单独尾叶切除1例,肝段切除10例.手术后平均住院时间8.3±2.4 d;手术后7 d肝功能指标恢复至手术前水平21例,无肝功能衰竭、围手术期死亡病例.结论:18岁以下青少年肝脏疾病患者肝脏原发病较为分散,肝脏储备与代偿功能好,可以接受极限性肝切除,手术后并发症少,手术后恢复快.
AIM： To analyze the parameters related to adolescent hepatectomy. METHOOS： Twenty-three adolescent hepatectomies performed in the Union Hospital Hepatobiliary Surgery Center were analyzed. RESULTS： Among the 23 adolescent hepatectomies, 6 were for hepatocellular carcinoma, 7 for hepatoblastoma, 3 for lymphoma, 2 for sarcoma, 3 for cavernous hemangioma, and 2 for focal nodular hyperplasia. Five received righthalf hepatectomy, 6 left-half hepatectomy, 1 right trisegemetectomy, 2 left-half and caudate hepatectomy, 1 isolated caudatectomy, and 10 segementectomy. The mean postoperative hospital stay was 8.3 ± 2.4 days, and 21 patients recovered to a preoperative liver function level at 7 d after operation. There was no liver failure or perioperative mortality. CONCLUSION： Adolescent liver disease patients with diverse etiology, good liver compensation, can accept radical hepatectomy with rare postoperative complications, and recover quickly.
出处
《世界华人消化杂志》
CAS
北大核心
2007年第26期2852-2855,共4页
World Chinese Journal of Digestology
关键词
肝切除
青少年
并发症
Hepatectomy
Adolescent
Postoperative complications
