常温下改良式全肝血流阻断包膜外切除肝脏巨大血管瘤  

An improved technique under normal temperature on total hepatic vascular exclusion for extrapeplos hepatectomy of giant hepatic cavernous hemangioma

作　　者：李明皓[1] 李昭宇[1] 马建国[1] 王佐正康玉明，王锋，卜阳，陈本栋，魏燕琴，涂继善 王佐正[1] 康玉明[1] 王锋[1] 卜阳[1] 陈本栋[1] 魏燕琴[1] 涂继善[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2006年第10期726-727,F0003,共3页Ningxia Medical Journal

摘　　要：目的探讨自体回输血技术常温下全肝血流阻断治疗常规手术方法不能切除的肝巨大血管瘤。方法采用国产自体血液回输机,对8例贴近多个肝门的肝巨大血管瘤常规在肝上下腔静脉、肝下下腔静脉、第一肝门放置阻断带,根据术中需要行不同时间的全肝血流阻断修补损伤血管。结果全组8例全部痊愈出院,除1例游离肝脏时瘤体破裂未能及时行全肝血流阻断致大出血术中输血6000毫升外,其余7例术中均未输血。结论采用自体回输血常温下全肝血流阻断技术切除常规手术方法不能切除的肝巨大血管瘤,是一种切实可行的办法。Objective To explore the intraoperative autologous transfusion in an improved under normal temperature on total hepatic vascular exclusion for extrapeploes hepatectomy of giant hepatic cavernous hemargioma. Methods The clinical data of 8 cases that underwent extrapolates hepatectomy requiring intraperative autologous transfusion from the cell - saver apparatus were analysed retrospectively.8 cases where the tumor involved the proximal hepatic veins and inferior vena cava.All cases were perfomed asing varying degrees of total hepatic vascular exclusion. Results 8 cases hemangicma were integrated resection and recovery. One case was raptured of tumous result massive hemorrhage during extrapeploes hepatectomy, blood transfusion 6000ml, other 7 cases were rot blood transfusion. Conclusion The intraoperative autologous transfusion in an improved under nomal temperature on total hepatic vascular exclusion for extrapeploes hepatectomy of huge hepatic cavernous hemangicma had feasible.

关 键 词：自体回输血 全肝血流阻断 

分 类 号：R735.7[医药卫生—肿瘤]