摘要
目的探讨肝后隧道法在右半肝切除中的应用。方法8例右肝肿瘤患者均行右半肝切除术。术中选择性阻断或结扎患侧肝动脉、门静脉,并分离肝后下腔静脉前间隙建立肝后隧道,通过肝后隧道放置阻断带进行血流阻断。结果8例患者均手术顺利。手术平均时间为3.8 h,术中出血量平均为436.5 mL。术后均未出现腹腔内感染、出血及胆漏等并发症。结论术中预先选择性患侧肝动脉、门静脉阻断及建立肝后隧道、放置阻断带进行右半肝切除术可以减少出血、残肝再灌注损伤,保证肝脏在最小的界面进行离断,完成手术。
Objective To explorer the application of retrohepatic tunnel for right hemihepatectomy. Methods Eight patients with right liver tumor were performed with right hemihepatectomy. During the operation,the ipsilateral hepatic artery and portal vein were selectively blocked or ligated, and retrohepatic anterior inferior vena cava space separated,then placed blocker through the retrohepatic tunnel for blood flow blocked. Results All patients were operated successfully without abdominal cavity infection, blood loss, biliary fistula and other complications. The mean time of the operations was 3.8 h,and the mean volume of blood loss was 436.5 mL. Conelution Blocking the hepatic artery and portal vein selectively and establising the blocker of the retrohe-patic tunnel for right hemihepatectomy can reduce bleeding, keep residual liver from ischemia-reperfusion injury,and guarantee the liver interface for the smallest of carried out form the broken to complete the operation.
出处
《江西医学院学报》
2009年第8期58-59,62,共3页
Acta Academiae Medicinae Jiangxi
关键词
右肝肿瘤
右半肝切除术
肝后隧道法
血流阻断
肝动脉
下腔静脉
right liver tumor
right hemihepatectomy
retrohepatic tunnel
blood flow occlusion
hepatic artery
inferior vena cava
