| Laparoscopic left hemihepatectomy under occlusion of the left inflow and outflow |
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| 作者单位： | CAI Xiu-jun,YU Hong,WANG Yi-fan,LIANG Xiao(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine; Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China);WANG Zhi-fei(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine; Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China;Department of General Surgery, Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China);PENG Shu-you(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine; Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China ;Department of General Surgery, Second Affiliated Hospital,College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310009, China) |
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| 基金项目： | 浙江省科技厅资助项目 |
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| 摘 要： | Laparoscopic hepatectomy seems to be difficult because of the ease of bleeding from the liver parachyma during resection. This is not easily controlled under the laparoscope, especially during right or left hemihepatectomy, except for resection of the peripheral liver or left lateral segment when porta hepatis dissection is not indicated. Although both inflow and outflow control seems to be ideal in laparoscopic left hepatectomy, there have not been many reports of this. In addition to the high technical demands and the time required, any injury of the main hepatic veins or vena cava during the procedure will cause catastrophic bleeding and air embolism. Recently, we succeeded in achieving inflow and outflow occlusion during laparoscopic left hemihepatectomy in four cases, with satisfactory results.
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| 关 键 词： | 肝切除术 血管疾病 治疗方法 空气栓塞 |
Laparoscopic left hemihepatectomy under occlusion of the left inflow and outflow |
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| Authors: | CAI Xiu-jun WANG Zhi-fei YU Hong WANG Yi-fan LIANG Xiao PENG Shu-you |
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| Institution: | CAI Xiu-jun(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China)；WANG Zhi-fei(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, ChinaDepartment of General Surgery, Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China)；YU Hong(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China)；WANG Yi-fan(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China)；LIANG Xiao(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China)；PENG Shu-you(Department of General Surgery, Sir Run Run Shaw Hospital,College of Medicine Institute of Minimally Invasive Surgery,Zhejiang University, Hangzhou, Zhejiang 310016, China Department of General Surgery, Second Affiliated Hospital,College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310009, China)； |
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| Abstract: | vascular occlusion laparoscopic hepatectomy air embolism |
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| Keywords: | vascular occlusion laparoscopic hepatectomy air embolism |
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