目的 總結(jié)行解剖性肝切除的經(jīng)驗及結(jié)果。
方法 2004年1月至2005年6月期間，我們對93例肝細(xì)胞癌患者進(jìn)行解剖性肝切除，對相應(yīng)外科技術(shù)進(jìn)行改進(jìn)以減少術(shù)中出血、輸血及術(shù)后并發(fā)癥。切肝采用血管鉗鉗夾肝組織，暴露肝內(nèi)管道后再結(jié)扎，選擇性阻斷出、入肝血流； 對13例巨大腫瘤行半肝切除時采用肝臟懸吊法，切肝時采用間斷Pringle法阻斷肝門。
結(jié)果 93例肝癌患者中82例(88%)伴有不同程度的肝硬變，平均出血量300 ml (100～6 000 ml)，71%（66/93）病例不需輸血。術(shù)后并發(fā)癥發(fā)生率為34%（32/93），膈下積液多發(fā)，共8例。術(shù)后30 d 內(nèi)無手術(shù)死亡。
結(jié)論 解剖性肝切除可能提高手術(shù)療效。
引用本文： 王魯,孫惠川,欽倫秀,葉青海,任寧,馬曾辰,吳志全,樊嘉,湯釗猷. 肝癌解剖性肝切除的初步經(jīng)驗. 中國普外基礎(chǔ)與臨床雜志, 2007, 14(1): 39-41. doi: 復(fù)制
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