摘要
目的探讨肝血管瘤的诊断、手术指征及外科治疗效果。方法回顾性分析2005年8月至2010年8月经手术证实的71例肝海绵状血管瘤和1例毛细血管瘤的临床资料。结果右半肝切除13例,左半肝切除5例,左外叶切除16例,尾叶切除8例,肝中央叶段切除14例,肝段切除10例,联合肝段切除6例,预防性胆总管切开、T管外引流3例。术中第一肝门阻断49例,阻断时间8～42min,平均(19.2±10.5)min;全肝血流阻断18例,阻断时间10～40min,平均(18.6±11.2)min。所有手术病例过程顺利,切除标本直径5～22cm,无手术死亡。术后并发症:胸腔积液11例,肺部感染1例,切口感染1例。69例随访5个月至6年,无复发。结论严格把握手术指征的前提下,应用肝切除术治疗肝血管瘤是安全有效的。
Objective：To study the diagnosis, surgical indications, and results of surgical treatment for hepatic hemangioma. Methods：Seventy-one cases of cavernous hemangioma and one case of capillary hemangioma of liver confirmed by surgical operation from 2005 to 2010 were retrospectively analyzed. Results：Thirteen cases underwent right hepatectomy, 5 cases underwent left hepatectomy, 16 cases underwent left lateral sectionectomy, 8 cases underwent caudate lobectomy, 14 cases underwent central hepatectomy, 10 cases underwent right anterior sectionectomy, 6 cases underwent combined hepatic resections and 3 cases underwent prophylactic exploration of the common bile duct. Pringle＇s maneuver was applied in 49 cases, and total hepatic vascular exclusion in 8 cases. The occlusion time ranged from 8-42 min and 10-40 min （ average： 19.2±10.5 min and 18.6±11.2 min）, respectively. Intraoperative blood transfusion 6 cases, an average of 400ml blood transfusion. All operations were successfully carried out. The specimens measured 5-22 cm. There was no operative deaths. The postoperative complications were： pleural effusion 11 cases, lung infection 1 case; incision infection 1 case. Histologic diagnosis confirmed hepatic cavernous hemangioma in 71 cases, capillary hemangioma in 1 case. Sixty-nine cases of follow-up 5 months to 6 years, no recurrence, 3 cases last to follow-up. Conclusion：Strictly grasp the surgical indications premise, liver resection for hepatic hemangioma is safe and effective.
出处
《中华普通外科学文献（电子版）》
2013年第2期34-37,共4页
Chinese Archives of General Surgery(Electronic Edition)
关键词
肝血管瘤
肝切除
手术指征
Hepatic hemangioma
Hepatectomy
Surgical indication
