Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of...Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of the right hepatic artery one day before an operation for a huge hemangioma accompanied with symptoms and confirmed a decrease in its size. The authors performed a right trisegmentectomy through a J-shape incision, using a thoracoabdominal approach, and safely removed a giant hemangioma of 32.0 cm × 26.5 cm × 8.0 cm in size and 2300 g in weight. Even for inexperienced surgeons, a J-shape incision with a thoracoabdominal approach is considered a safe and useful method when right-side hepatectomy is required for a large mass in the right liver.展开更多
目的分析比较左右侧桡动脉不同入路在TACE手术治疗中的影响。方法 回顾性分析了2021年6月至2022年5月在河南省中医院接受常规TACE治疗的174例肝癌患者,其中小于65岁:左侧桡动脉入路52例,右侧桡动脉入路54例;大于65岁:左侧桡动脉入路32例...目的分析比较左右侧桡动脉不同入路在TACE手术治疗中的影响。方法 回顾性分析了2021年6月至2022年5月在河南省中医院接受常规TACE治疗的174例肝癌患者,其中小于65岁:左侧桡动脉入路52例,右侧桡动脉入路54例;大于65岁:左侧桡动脉入路32例,右侧桡动脉入路36例。对比分析左侧桡动脉入路和右侧桡动脉入路的并发症发生情况,插管至腹腔干的透视时间、手术整体透视时间和射线剂量。结果 小于65岁患者中左侧桡动脉入路组和右侧桡动脉入路组插管至腹腔干透视时间、手术整体透视时间、射线剂量及穿刺点并发症发生率差异无统计学意义(P>0.05);在大于65岁患者中,左侧桡动脉入路和右侧桡动脉入路的穿刺点并发症发生率未见明显差异,无统计学意义(P>0.05)。左侧桡动脉入路插管至腹腔干透视时间、手术整体透视时间及射线剂量均低于右侧桡动脉入路[(60.3±28.3) s vs (86.3±45.2) s, P=0.003];[(11.2±4.5) min vs (14.3±6.3) min,P=0.030];[(452.2±121.7) mGy vs (563.8±181.5) mGy,P=0.022],差异有统计学意义。结论左侧桡动脉入路和右侧桡动脉入路在常规TACE治疗中穿刺点并发症发生率没有明显差异,但左侧桡动脉入路在大于65岁的老年患者中能明显减少手术透视时间和射线剂量。展开更多
文摘Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of the right hepatic artery one day before an operation for a huge hemangioma accompanied with symptoms and confirmed a decrease in its size. The authors performed a right trisegmentectomy through a J-shape incision, using a thoracoabdominal approach, and safely removed a giant hemangioma of 32.0 cm × 26.5 cm × 8.0 cm in size and 2300 g in weight. Even for inexperienced surgeons, a J-shape incision with a thoracoabdominal approach is considered a safe and useful method when right-side hepatectomy is required for a large mass in the right liver.
文摘目的分析比较左右侧桡动脉不同入路在TACE手术治疗中的影响。方法 回顾性分析了2021年6月至2022年5月在河南省中医院接受常规TACE治疗的174例肝癌患者,其中小于65岁:左侧桡动脉入路52例,右侧桡动脉入路54例;大于65岁:左侧桡动脉入路32例,右侧桡动脉入路36例。对比分析左侧桡动脉入路和右侧桡动脉入路的并发症发生情况,插管至腹腔干的透视时间、手术整体透视时间和射线剂量。结果 小于65岁患者中左侧桡动脉入路组和右侧桡动脉入路组插管至腹腔干透视时间、手术整体透视时间、射线剂量及穿刺点并发症发生率差异无统计学意义(P>0.05);在大于65岁患者中,左侧桡动脉入路和右侧桡动脉入路的穿刺点并发症发生率未见明显差异,无统计学意义(P>0.05)。左侧桡动脉入路插管至腹腔干透视时间、手术整体透视时间及射线剂量均低于右侧桡动脉入路[(60.3±28.3) s vs (86.3±45.2) s, P=0.003];[(11.2±4.5) min vs (14.3±6.3) min,P=0.030];[(452.2±121.7) mGy vs (563.8±181.5) mGy,P=0.022],差异有统计学意义。结论左侧桡动脉入路和右侧桡动脉入路在常规TACE治疗中穿刺点并发症发生率没有明显差异,但左侧桡动脉入路在大于65岁的老年患者中能明显减少手术透视时间和射线剂量。
