摘要
目的探讨肝中叶切除术手术技术及安全性。方法回顾性分析了第二军医大学附属东方肝胆外科医院2006年1月至2010年3月间62例肝中叶切除术病人的临床资料。结果并发症发生率11.3%(7/62,)其中胆漏4例,大量胸水1例,成人呼吸窘迫综合征1例,均治愈;术后8d死于肺动脉栓塞1例(1.61%)。结论术前肝功能及切除的可行性评估是成功施行肝中叶切除术的关键。术中仔细操作,控制出血,妥善处理肝创面,确保残肝流入道及流出道的完整是肝中叶切除术成功的重要措施。
Objective To investigate the surgical technique and safety of mesohepatectomy. Methods The clinical data of 62 cases of mesohepatectomy performed between January 2006 and March 2010 at Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University were analyzed retrospectively. Results The postoperative complication rate was 11.3%（7/62）. There were bile leakage in 4 cases, pleural effusion in 1 case and adult respiratory distress syndrome in 1 case. Above complications cases were cured. One case （1.61%） died of pulmonary embolism. Conclusion The preoperative assessment could mainly depand on the resectability and preoperative liver function. The control of operative blood loss, management of the cut surfaces and secure the inflow and outflou of the remained liver could be the important methods of mesohepatectomy.
出处
《中国实用外科杂志》
CSCD
北大核心
2010年第8期672-673,690,共3页
Chinese Journal of Practical Surgery
关键词
肝中叶肝切除术
术前评估
mesohepatectomy
preoperative assessment
