摘要
目的探讨肝脏肿瘤切除术中肝后下腔静脉损伤的处理方法及适应证。方法采用了分步全肝血流阻断、指压、指捏及肝创面对拢缝合４种方法，处理１６例下腔静脉损伤者。结果全部患者即刻止血，无再出血，无手术死亡，随访６～１８个月，均存活。结论该方法简单、实用、省时、安全。
Objective To evaluate the management of injuried retrohepatic inferior vena cava during hepatectomy for neoplasm. Methods Step by step hepatic vascular exclusion,finger pressing,finger pinching, and surface to surface sewing up were used in the management of injured retrohepatic inferior vena cava in 16 cases of hepatic resection. Results In all cases, bleeding was stopped immediately after the procedure without any death and rebleeding. All cases survived after 6～18 month follow up. Conclusions The methods mentioned above are simple,useful,time saving,safe and effective.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1999年第1期14-17,共4页
Chinese Journal of Surgery
关键词
肝肿瘤
肝切除术
下腔静脉
手术创伤
Liver neoplasms
Hepatectomy
Vena cava
inferior
Wounds and injuries
