精准外科理念指导下的肝尾叶切除七例报告 |
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引用本文: | 高静涛,秦建伟,李庆怀.精准外科理念指导下的肝尾叶切除七例报告[J].中华普外科手术学杂志(电子版),2011,5(3):300-305. |
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作者姓名: | 高静涛 秦建伟 李庆怀 |
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作者单位: | 解放军第一医院肝胆外科,兰州军区肝胆外科中心,兰州,730030 |
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摘 要: | 目的探讨肝尾叶切除中精准外科理念的指导价值。方法以精准外科理念指导手术切除的肝尾状叶肿瘤7例患者,对血流控制方式,肝切除方式,出血量、输血量及并发症进行分析。结果采用个体化的血流控制方式,5例病灶整块切除,2例分别切除,中位出血量800ml,红细胞悬液输入量0~5U,7例患者术后均恢复顺利,无重大并发症。随访0.5~7年,5例肝血管瘤患者情况良好,1例肝细胞癌患者已无瘤生存半年,1例肝囊腺癌患者因严重抑郁于术后7个月病故。结论以精准外科理念为指导,可以达到肝尾叶切除的安全性与有效性及微创化的理想统一。
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关 键 词: | 肝肿瘤 肝切除术 精准外科 |
Hepatic caudate lobectomy guided by principles of precise surgery: report of 7 cases |
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Authors: | GAO Jing-tao QIN Jian-wei LI Qing-huai |
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Institution: | GAO Jing-tao,QIN Jian-wei,LI Qing-huai.Department of Hepatobiliary Surgery,First Hospital of PLA,Lanzhou 730030,China |
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Abstract: | Objective To investigate the significance of principles of precise surgery in hepatic caudate lobectomy.Methods Clinical data of 7 patients who had undergone precise hepatic caudate lobectomy were analyzed retrospectively concerning hepatic vascular control,techniques of resection,blood loss,blood transfusion,and postoperative complications.Results With individualized method of hepatic vascular control,5 of 7 neoplasms were resected en bloc with a median blood loss of 800 ml,and transfusion of erythrocyte s... |
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Keywords: | Liver neoplasms Hepatectomy Precise surgery |
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