循肝中静脉的解剖性半肝切除：附58例报告

目的：探讨偱肝中静脉行解剖性半肝切除的临床疗效。方法：回顾性分析2010年3月—2011年12月58例行半肝切除患者的临床资料。患者术中均暴露肝中静脉全程，然后按其走行确定切肝平面，行解剖性左或右半肝切除。结果：全组平均手术时间5.78（4.5~13）h，平均失血量238.3（100~2 000）mL，术后无膈下脓肿、胆瘘、出血等并发症，患者平均住院时间12.5（9~25）d。结论：循肝中静脉的切肝平面是解剖性半肝切除合理、正确的选择。

Anatomic hemihepatectomy guided by middle hepatic vein: report of 58 cases

Objective: To investigate the clinical efficacy of anatomic hemihepatectomy guided by middle hepatic vein (MHV). Methods: The clinical data of 58 patients undergoing hemiliver resection from March 2010 to December 2011 were retrospectively analyzed. In all the patients, the liver transection plane was defined following the course of MHV after it was completely exposed during the early stage of operation, and then the anatomic left or right hemihepatectomy was performed. Results: In the entire group, the average operative time was 5.78 (4.5–13) h, and average intraoperative blood loss was 238.3 (100–2 000) mL. No complications such as subphrenic abscess, bile leakage or hemorrhage occurred, and the average length of hospital stay of the patients was 12.5 (9–25) d. Conclusion: Resection plane along the course of MHV is a rational and correct option for anatomic hemihepatectomy.