包膜外瘤体切除在肝血管瘤切除中应用(附26例报告) |
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引用本文: | 秦建民,张敏,孔雷,盖季钦,孟智源,曹伟家,陈腾. 包膜外瘤体切除在肝血管瘤切除中应用(附26例报告)[J]. 肝胆外科杂志, 2010, 18(6) |
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作者姓名: | 秦建民 张敏 孔雷 盖季钦 孟智源 曹伟家 陈腾 |
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作者单位: | 上海中医药大学附属普陀医院普外科,上海,200062 |
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摘 要: | 目的探讨包膜外瘤体切除治疗肝血管瘤的手术指征和切除技巧。方法总结我院2003年7月至2009年10月采用包膜外瘤体切除治疗的26例肝血管瘤资料,术中均行血管瘤包膜外切除,切除瘤体37个,术中出血200~1200 ml,平均460 ml。同时行胆囊切除4例。结果术后发生右侧胸腔积液2例,右膈下包裹性积液2例,无手术死亡发生。术后随访6个月~5年,无血管瘤复发。结论严格掌握肝血管瘤的手术指征,包膜外瘤体切除是治疗肝血管瘤最有效、首选的治疗方法。
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关 键 词: | 肝血管瘤 手术 指征 |
APPLICATION OF EXTRA-AMICULA TUMOR RESECTION IN HEMANGIOMAS OF LIVER |
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Affiliation: | (QIN Jian-min,ZHANG Min,KONG Lei,et al.Department of General Surgery,Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China) |
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Abstract: | Objective To discuss about operative indication and resection skill of hemangiomas of liver with extra-amicula hemangiomas resection.Methods 26 cases of hemangiomas of liver resected were summarized from Jul.2003 to Oct.2009,extra-amicula resection was performed in all patients with hemangiomas,37 tumors were resected.Intraoperative bleeding was from 200 ml to 1200ml,average to 460 ml.Cholecystectomy was performed in 4 cases.Results After operation,right pleural effussion occurred in 2 cases,encapsulated ef... |
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Keywords: | hemangiomas of liver operation indication |
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