大网膜在肝癌肝切除术中的应用（附115例报告）

在肝癌肝切除术中，肝断面出血和术后继发性出血是肝切除的主要问题。自１９８３年～１９９０年间，在１１５例肝癌肝切除术中，用游离的大网膜片覆盖于肝断面，使术中出血量减少，无术后继发性出血，无手术死亡和住院死亡，术后并发症为；胸水７．８％（９／１１５），肺炎３．１％（４／１１５），膈下感染３．１（４／１１５），切口感染１．４％（２／１１５），上消化道出血０．７％（１／１１５），胆瘘０．７％（１／１１５）。低于文献报道。大网膜具有独特的生理功能和解剖特点。为肝脏外科提供了肝断面处理的最佳材料。值得推广应用。

Use of Omentum in Liver Cancer Resection

Bleeding of the section surface of the liver after hepatectomy remains an annoying problem in hepatic surgery.During the period 1983-1990,in 115cases of hepatectomy for liver cancer free omentum was used to cover up the cutting surface of the remaining part of liver.As a consequence the bleeding from the liver cutting surface was markedly diminished and no secondary bleeding or operativedeath occurred. In addition,the postoperative complications were also minimized remarkably with right side pleural effusion in 7.8% of the cases,pneumonia in 3.1%,subphrenic abscess in 3.1%,bile leakage in 0.7% and upper gastrointestinal hemorrhage in 0.7 %.