摘要
目的评价改良式绕肝提拉法前入路在右半肝切除术中的临床应用价值。方法提出重视"手术高危区"的解剖分离,建立肝后隧道,置单或双悬吊带提拉肝脏,绕肝提拉法前入路进行右半肝切除术。结果本组7例,包括肝癌2例、肝血管瘤2例、严重肝损伤2例及右肝内胆管结石1例,手术均获得成功,未发生与本术式相关的并发症。结论改良式绕肝提拉法前入路进行右半肝切除术安全可靠。此法同时适用于肝良性病变及严重肝损伤的右半肝切除术,是值得推荐的一种手术方式。
Objective To evaluate the clinical application of the modified liver hanging maneuver method by anterior approach in right anterior hepatectomy.Methods To introduce the emphasis on anatomical separation in＂high-risk region of operation＂.First set up retro-hepatic tunnel,then lift liver with single or double suspension slings,and practice right anterior hepatectomy with liver hanging maneuver method by anterior approach.Results In all the 7 cases,including two cases of liver cancer,two cases of hepatic hemangioma,2 cases of severe liver injury and 1 case of right hepatic bile duct stones.All the operations had been practiced successfully without surgery-related complications.Conclusion It is safe and reliable to practice right anterior hepatectomy with liver hanging maneuver method by anterior approach.This method applies to right hepatectomy in both benign hepatic lesion and severe liver injury,it is a recommendable surgery.
出处
《局解手术学杂志》
2009年第4期227-228,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
绕肝提拉法
肝后隧道
前入路
肝切除术
liver hanging maneuver
retrohepatic tunnel
anterior approach
hepatectomy
