前入路绕肝提拉法在难切右半肝切除中的应用：附40例

Application of liver hanging maneuver in difficult right hemihepatectomy., a report of 40 cases

目的证实前人路绕肝提拉法在难切右半肝切除中的安全性及该技术的临床可行性。方法自2006年9月至2008年9月间，天津医科大学附属肿瘤医院收治的拟行右半肝切除肝癌病人中选择难切病例40例，配对分成常规肝切除组和前入路绕肝提拉法肝切除组。结果20例成功安放绕肝带，手术时间、术中出血量、术中输血量、住院时间及术后相关并发症发生率均优于常规组（P〈0．05）。结论在难切的右半肝切除时前人路绕肝提拉法既安全又快捷。

Objective To confirm the feasibility and security of the liver hanging maneuver in difficult right hemihepatectomy. Methods Medical records of 40 consecutive patients considered for difficult right hemihepateetomy were reviewed. The patients were grouped into two groups in pairs： group 1 （using the hanging maneuver） in 20 and group 2 （using the traditional maneuver） in the left 20. Results It was successful in 20 patients and the overall feasibility was 100%. Operative duration, bleeding, transfusion, average stay and complications in group 1 were lower than those of group2. Conclusion The liver hanging maneuver not only has high feasibility but also improves the security in difficult right hemihepatectomy.