摘要
目的探讨特殊部位肝海绵状血管瘤的外科治疗经验。方法对32例位于第二肝门附近和尾状叶内的肝海绵状血管瘤的临床资料进行回顾分析。结果本组病例均采用包膜外剥离术,血管瘤均获完全切除,手术死亡率3.1%(1/32),术中出血量50～10000ml,12例病人术中进行了输血,输血量400～4000ml不等。术后发生胆漏(1例)、膈下积液(1例)和右侧胸腔积液(3例)等并发症5例(发生率15.6%),26例获平均(3.09±0.93)年随访,未见血管瘤复发。结论熟悉肝脏解剖及熟练的手术技巧是手术成功的关键,包膜外剥离术是治疗肝海绵状血管瘤安全、有效的方法。
Objective To discuss surgical treatment of hepatic cavernous hemangioma in special locations. Metho-ds The clinical data of 32 cases of hepatic cavernous hemangioma adjacent to the second porta hepatis or located in the caudate lobe were analyzed. Results All the hepatic cavernous hemangioma of the cases were resected successfully by dissecting close to the outer surface of the capsule, the overall mortality was 3.1%(1/32), the volume of blood loss ranged from 50 to 10 000 ml; 12 patients were transfused from 400 to 4 000 ml. There were 5 cases (15.6%) with complications: right pleural effusion(n=3), biliary leakage(n=1), subdiaphragmatic effusion(n=1). Twenty-six patients were followed-up for an average of (3.09±0.93) years, and no recurrence was observed. Conclusions A thorough understanding of related anatomy and proficiency in operative techniques are the key points of success. It is a safe and effective way to resect the hepatic cavernous hemangioma by carrying out the dissection along the outer surface of the capsule.
出处
《外科理论与实践》
2004年第4期289-291,共3页
Journal of Surgery Concepts & Practice
关键词
肝海绵状血管瘤
第二肝门
外科治疗
Hepatic cavernous hemangioma
Second porta hepatis
Surgical treatment
