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Hemi-hepatectomy in pediatric patients using two-surgeon technique and a liver hanging maneuver 被引量:9

Hemi-hepatectomy in pediatric patients using two-surgeon technique and a liver hanging maneuver
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摘要 AIM: To evaluate the efficacy of the two-surgeon technique with the liver hanging maneuver (LHM) for hepatectomies in pediatric patients with hepatoblastoma. METHODS: Three pediatric patients with hepatoblastoma were enrolled in this study. Two underwent right hemi-hepatectomies and one underwent a left hemihepatectomy using the two-surgeon technique by means of saline-linked electric cautery (SLC) and the Cavitron Ultrasonic Surgical Aspirator (CUSA; Valleylab, Boulder, CO) and the LHM. RESULTS: The mean operative time during the parenchymal transections was 50 rain and the mean blood loss was 235 g. There was no bile leakage from the cut surface after surgery. No macroscopic or microscopic-positive margins were observed in the hepatic transections. CONCLUSION: The two-surgeon technique using SLC and CUSA with the LHM is applicable to even pediatric patients with hepatoblastoma. AIM: To evaluate the efficacy of the two-surgeon technique with the liver hanging maneuver (LHM) for hepatectomies in pediatric patients with hepatoblastoma. METHODS: Three pediatric patients with hepatoblastoma were enrolled in this study. Two underwent right hemi-hepatectomies and one underwent a left hemihepatectomy using the two-surgeon technique by means of saline-linked electric cautery (SLC) and the Cavitron Ultrasonic Surgical Aspirator (CUSA; Valleylab, Boulder, CO) and the LHM. RESULTS: The mean operative time during the parenchymal transections was 50 min and the mean blood loss was 235 g. There was no bile leakage from the cut surface after surgery. No macroscopic or microscopic-positive margins were observed in the hepatic transections. CONCLUSION: The two-surgeon technique using SLC and CUSA with the LHM is applicable to even pediatric patients with hepatoblastoma.
机构地区 Department of Surgery
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第10期1354-1357,共4页 世界胃肠病学杂志(英文版)
关键词 Two-surgeon technique Liver hanging maneuver HEPATOBLASTOMA HEPATECTOMY Pediatric surgery 肝切除 外科 技术 医生 患者 挂机 切除术 儿科
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同被引文献36

  • 1Sheung-Tat Fan.Precise hepatectomy guided by the middle hepatic vein[J].Hepatobiliary & Pancreatic Diseases International,2007,6(4):430-434. 被引量:78
  • 2黄从云,彭淑牖.Belghiti绕肝提拉肝切除术研究进展[J].中华普通外科杂志,2005,20(11):747-749. 被引量:4
  • 3梁力建,王卫东,黄雄庆,殷晓煜.低中心静脉压减少肝切除术中出血的临床研究[J].中国实用外科杂志,2005,25(12):723-726. 被引量:26
  • 4Sheung-Tat Fan,Chung-Mau Lo,Chi-Leung Liu,Chi-Ming Lam,Wai-Key Yuen,Chun Yeung,John Wong.Hepatectomy for Hepatocellular Carcinoma: Toward Zero Hospital Deaths[J]. Annals of Surgery . 1999 (3)
  • 5Toshio J. Sato,Ichiro Hirai,Gen Murakami,Tetsuhiro Kanamura,Fumitake Hata,Koichi Hirata.An anatomical study of short hepatic veins, with special reference to delineation of the caudate lobe for hanging maneuver of the liver without the usual mobilization[J]. Journal of Hepato - Biliary - Pancreatic Surgery . 2002 (1)
  • 6Dai, Wei-Dong,Huang, Jiang-Sheng,Hu, Ji-Xiong.Isolated Caudate Lobe Resection for Huge Hepatocellular Carcinoma (10 cm or greater in diameter)[J].The American Surgeon.2014(2)
  • 7Mitsuhisa Takatsuki,Susumu Eguchi,Masaaki Hidaka,Yoshitsugu Tajima,Takashi Kanematsu.A secure taping technique for a liver hanging maneuver using a surgical probe[J].Surgery Today.2008(12)
  • 8Atsushi Nanashima,Yorihisa Sumida,Takafumi Abo,Toru Yasutake,Takeshi Nagayasu.Right paramedian sectoriectomy using the double liver hanging maneuver[J].Surgery.2007(3)
  • 9Seong Hoon Kim,Sang-Jae Park,Soon-ae Lee,Woo Jin Lee,Joong-Won Park,Chang-Min Kim.Isolated caudate lobectomy using the hanging maneuver[J].Surgery.2006(6)
  • 10Chi-Leung Liu,Sheung-Tat Fan,Chung-Mau Lo,Ronnie Tung-Ping Poon,John Wong.Anterior Approach for Major Right Hepatic Resection for Large Hepatocellular Carcinoma[J].Annals of Surgery.2000(1)

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