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肝门部大肝癌的手术切除
引用本文:臧书源,张绍庚,陈少华,江艺.肝门部大肝癌的手术切除[J].肝胆外科杂志,2007,15(2):113-115.
作者姓名:臧书源  张绍庚  陈少华  江艺
作者单位:南京军区福州总医院,福州,350025;南京军区福州总医院,福州,350025;南京军区福州总医院,福州,350025;南京军区福州总医院,福州,350025
摘    要:目的 探讨肝门部大肝癌切除的安全性和可行性.方法 对平均直径8.3 cm的83例巨大肝门肿瘤,采用入肝血流阻断方法下进行肝肿瘤切除.结果 83例巨大肝门部肿瘤均得以顺利切除,术后无严重并发症发生,肝门阻断时间平均12.7 min,出血量平均327 ml.结论 肝门部巨大肿瘤切除手术难度大,但只要方法得当,围手术期处理适宜,仍是安全可行的.

关 键 词:肝肿瘤  手术
文章编号:1006-4761(2007)02-0113-03
收稿时间:2007-01-05
修稿时间:2007-02-19

HEPATIC RESECTION FOR MAJOR LIVER NEOPLASMS IN THE HEPATIC HILAR AREA
ZANG Shu-ynan, ZHANG Shao-geng , CHEN Shao-hna ,et al..HEPATIC RESECTION FOR MAJOR LIVER NEOPLASMS IN THE HEPATIC HILAR AREA[J].Journal of Hepatobiliary Surgery,2007,15(2):113-115.
Authors:ZANG Shu-ynan  ZHANG Shao-geng  CHEN Shao-hna  
Institution:Department of hepatobiliary surgery, Fuzhou general Hospital of PLA , Fuzhou 350025, China
Abstract:Objective To evaluate the safety and feasibility of hepatic resection for huge liver neoplasms in the hepatic hilar area. Methods 83 cases of huge neoplasms in the hepatic hilar area with a mean diameter of 8.3 cm were resected. The hepatectomies were performed under intermittent occlusion of hepatic inflow. Results All 83 cases were successfully resected. No serious complications occurred, the mean time of occlusion of hepatic inflow was 12. 7 min, the mean blood loss was 327 ml. Conclusions Although hepatic resection for huge liver neoplasms in the hepatic hilar area is quite difficult, but if suitable surgical techique and perioperative management were adopted , it is safe and feasible.
Keywords:Liver neoplasms  Hepatectomy
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