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肝海绵状血管瘤包膜外剥离术26例临床分析
引用本文:钟小虎,邬林泉,廖雯俊,邵江华,罗志强,邹书兵. 肝海绵状血管瘤包膜外剥离术26例临床分析[J]. 中华普外科手术学杂志(电子版), 2011, 5(3): 294-299. DOI: 10.3877/cma.j.issn.1674-3946.2011.03.058
作者姓名:钟小虎  邬林泉  廖雯俊  邵江华  罗志强  邹书兵
作者单位:南昌大学第二附属医院肝胆外科,南昌市,330006
摘    要:目的评价包膜外剥离术治疗肝海绵状血管瘤的方法。方法对48例需要手术治疗的肝海绵状血管瘤患者实施了手术,其中包膜外剥离术26例,腹腔镜下肝血管瘤切除7例,开腹肝叶切除术15例。结果实施包膜外剥离术的26例患者肝海绵状血管瘤均被完整剥除,手术平均出血200ml,术后并发症发生率26.9%(7/26),右侧胸腔积液4例,肝内血肿2例,切口感染1例,经对症治疗后痊愈。结论包膜外剥离术是治疗肝血管瘤的安全有效的方法。

关 键 词:肝肿瘤  血管瘤  海绵状  肝切除术

Surgical treatment of liver cavernous hemangiomas by enucleation: report of 26 cases
ZHONG Xiao-hu,WU Lin-quan,LIAO Wen-jun,SHAO Jiang-hua,LUO Zhi-qiang,ZOU Shu-bing. Surgical treatment of liver cavernous hemangiomas by enucleation: report of 26 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2011, 5(3): 294-299. DOI: 10.3877/cma.j.issn.1674-3946.2011.03.058
Authors:ZHONG Xiao-hu  WU Lin-quan  LIAO Wen-jun  SHAO Jiang-hua  LUO Zhi-qiang  ZOU Shu-bing
Affiliation:ZHONG Xiao-hu,WU Lin-quan,LIAO Wen-jun,SHAO Jiang-hua,LUO Zhi-qiang,ZOU Shu-bing.Department of Hepatobiliary Surgery,Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China
Abstract:Objective To evaluate the therapeutic effect of surgical enucleation on hepatic cavernous hemangioma.Methods From October 2005 to October 2010,48 patients underwent resection of hepatic cavernous hemangioma.Among them,7 patients received laparoscopic resection of cavernous hemangioma,15 liver resection laparotomy,and 26 enucleation(including hepatic arterial chemoembolization under interventional therapy before surgical therapy in 4 patients).Results Cavernous hemangiomas were removed completely without int...
Keywords:Liver neoplasms  Hemangioma  cavernous  Hepatectory  
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