摘要
目的探讨经前正中入路行肝尾状叶肿瘤切除的技术。方法回顾性分析自2006年至2009年,3例位于肝尾状叶腔静脉旁部肿瘤患者的临床资料。先行术中B超定位确定肝切线,以超声吸引刀(CUSA)结合钛夹、氩气刀在不阻断肝血流情况下,经肝正中裂前入路行尾状叶切除术。结果3例患者手术均顺利完成。尾状叶及肿瘤被完整地切除,肉眼无残留。1例术后有中等量右侧胸腔积液,经穿刺抽液后治愈。结论经前入路可提高肝尾状叶肿瘤的手术切除率,尤其适用于腔静脉旁部肿瘤切除,并可有效防止损伤肝静脉主干及下腔静脉。
Objective To explore the strategy of hepatic caudate lobectomy through the anterior approach.Methods From 2006 to 2009,the hepatic caudate lobectomy through anterior approach was performed on 3 patients with tumors originated in the paracaval portion of caudate lobe.The approach to hepatic resection involved routine use of localization intraoperative B-mode ultrasonic,cavitron ultrasonic surgical aspirator（CUSA）,titanium clip and argon plasma coagulation（APC）.Results The operations were successful in 3 patients.Postoperative complication of pleural effusion in one case was cured by drainage.Conclusion The application of anterior approach for hepatic caudate lobectomy can converse certain kind of caudate lobe tumor（especially originated in the paracaval portion） from non-resectable to respectable resulting in widening the indication and prevent injuries of hepatic vein stems or inferior vena cava（IVC）.
出处
《临床医学》
CAS
2010年第4期26-27,共2页
Clinical Medicine
关键词
肝肿瘤
肝尾状叶切除术
前入路
Liver neoplasms
Hepatic caudate lobectomy
Anterior approach
