目标流域动脉染色法在解剖性肝切除术中的应用

Use of the target territory hepatic artery dye-injection method in anatomical hepatectomy

回顾性分析2021年6月至2022年1月南京医科大学附属淮安第一医院行目标流域动脉染色法解剖性肝切除的4例原发性肝癌患者临床资料,其中男性3例,女性1例,年龄(52.0±3.7)岁。2例为肝右叶肿瘤合并门静脉癌栓,采取肝右叶切除联合肝断面门静脉断端取栓术;1例为肝右前叶肿瘤,肿瘤侵犯门静脉右前支腹侧段,采取肝右前叶切除术;1例为肝左叶肿瘤合并门静脉癌栓,采取肝左叶切除联合肝断面门静脉断端取栓术。4例患者术中均成功实施了目标流域动脉染色法指导解剖性肝切除,术后无胆漏、出血等并发症。因此,对于合适的肝癌病例可以采用目标流域动脉染色法的解剖性肝切除术。

The clinical data of patients with hepatocellular carcinoma who underwent anatomical hepatectomy at the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University from June 2021 to January 2022 were retrospectively analyzed.Of 4 patients,there were 3 males and 1 female,aged(52.0±3.7)years.These patient underwent anatomical hepatectomy using the"target territory hepatic artery dye-injection"method.There were 2 patients with right hemi liver tumors with portal vein tumor thrombus,and 1 patient with a right anterior section tumor which involved the ventral segment of right anterior branch of portal vein.One patient had a left hemi liver tumor with portal vein tumor thrombus.The surgical operations were right hemihepatectomy combined with thrombectomy of portal vein in 2 patients,right anterior sectionectomy in 1 patient,and left hemihepatectomy combined with thrombectomy of portal vein in 1 patient.There were no postoperative complications including bile fistula or bleeding.The"Target territory hepatic artery dye-injection"method could be used in appropriate by selected patients.