原发性肝尾叶肿瘤的外科治疗  

SURGICAL TREATMENT OF PRIMARY CAUDATE LOBE NEOPLASMS OF THE LIVER

作　　者：姚辉华[1] 曾勇[1] 严律南[1] 董承伟[1] 

机构地区：[1]四川大学华西医院,成都610041

出　　处：《肝胆外科杂志》2004年第3期180-183,共4页Journal of Hepatobiliary Surgery

摘　　要：目的　原发性肝尾叶肿瘤的外科治疗方法　回顾性分析近 5年外科治疗的 1 5例原发性肝尾叶肿瘤临床病理资料 ,并从解剖、术式、手术入路及提高安全性等方面进行探讨。　结果　本组手术切除 1 0例 ,其中行入肝血流阻断 7例、全肝血流阻断 2例 ,术后出血 1例 ,均治愈出院 ,生存已 1年者 9例 ,已 3例存活 5年。行同种异体原位肝移植 1例 ,4 + 月后死于肿瘤复发。未切除组未有生存超过 1年者。结论　熟悉肝尾叶的解剖特点 ,详细的术前评估 ,恰当选择术式与入路 ,细致操作 。Objective To summarize the experiences in surgical treatment of primary caudate lobe neoplasms for im proving the outcome and safety of the treatment.Methods 15 Cases of primary liver caudate lobe neoplasms were reviewed retrospectively.Problems including anatomy,surgical approach and safety of the treatment were discussed.Results 10 patients had been underwent caudate lobe tumor resection and 1 patient orthotopic liver transplantation.Pringle's maneuver were used in 7 cases among the resections and total blood flow occlusion in 2 cases.There was only 1 postoperative bleeding occurred after resection.All the patients were discharged from the hospital and 9 patients have survived 1 year,3 patients 5 years.The patient underwent orthotopic liver transplantation died of cancer recurrence 4 months later after the operation.None of the unresected patients had survived 1 year.ConClusion Familiar with the anatomy of caudate lobe,careful evalua tion,proper selection of surgical approach and meticulous procedure would improve the result and safety of surgical treat ment.

关 键 词：肝肿瘤 外科治疗 

分 类 号：R735.7[医药卫生—肿瘤]