摘要
全肝血流阻断技术主要用于切除与大血管相粘的中央型肝肿瘤。传统的全肝血流阻断包括常温无血切肝(Hcanay法)和低温无血切肝(Fortner法),但两者都有弊端。自1991年10月起,我们采用国内改良后的全肝血流阻断术,即阻断第1肝门、肝下、肝上方下腔静脉,在无血状态下切肝,成功地切除了紧贴大血管的肝门区肝癌5例。术后病人的肝功能和生化改变与一般广泛性肝切除相同。
The sclcctive normothcrmic hepetic vascular exclusion (NHVE) is applied mainly in resection o1' hepatomegalia and hepatophyma of central type sticking to lange blood vessels. Traditionally, not perfect. Since Oct. 1991 we have adopted an imoroved NHVE, in which the first porta heptis and the inferior caval veins beneath and above thd liver are blocked progresively during the oplration. With this procedure we have successfully resected the hepatocarcinoma stiching to the large blood vessels in the hepatic portal area for 5 patients in a non-bleeding state. After operation the liver function and biochemical change in these patients are the same as in those who have undergone the usual extensive hepatectomy.
出处
《皖南医学院学报》
CAS
1993年第4期265-267,共3页
Journal of Wannan Medical College
