摘要
目的总结应用一种新的直视下布加综合征根治术的初步经验。方法本组 13例。平均年龄 36岁。发病时间平均 31个月。下腔静脉隔膜 3例 ,右肝静脉隔膜 1例 ,下腔静脉隔膜合并远侧血栓形成 6例 ,下腔静脉长段血栓形成 2例 ,1例为后腹膜肿瘤侵入下腔静脉全程并延伸进右心房。所有病例均在直视下完全切除病变。结果手术成功 13例 ,1例在体外循环辅助下完成 ,2例采用细胞回收机 ,1例输库血 2 0 0 0ml,2例输库血 4 0 0ml,其余病例未予输血。 1例围手术期死于肾功能衰竭。其余病例术后症状体征消退。结论此根治方法视野清晰。
Objective To sum up our preliminary experience on radical surgery for the treatment of Budd Chiari syndrome under genuine direct vision. Method A total of 13 cases were enrolled in this study with age ranging from 17 to 48 years, and history from 3 months to 5 years. There was inferior vena cava (IVC) membranous obstruction in 3 cases, right hepatic venous membrane (HV) in 1 case, IVC membrane with distal thrombosis in 6 cases, long segment of thrombosis of IVC in 2 cases, IVC tumor thrombus extending to right atrium in 1 case of retroperitoneal tumor. Result All lesions were successfully resected. Extracorporeal circulation was used in one case, cell saver was used in 2 cases. No blood transfusion was needed except for one case receiving bank blood transfusion of 2000 ml, and the other one of 400 ml. One patient died of renal failure during perioperative period. Disappearance of the symptoms and sigh after operation was found in all the other cases. Conclusion This new radical surgery gives access to the lesions under clear direct vision facilitating the correction.
出处
《中华普通外科杂志》
CSCD
北大核心
2004年第9期537-539,共3页
Chinese Journal of General Surgery
