肝血管显露在肝切除术中的应用  

Application of microscopic dissection of hepatic blood vessels in hepatectomy

作　　者：刘宁[1] 熊秀娥[1] 晏华军[1] 沈雄山[1] 李卫民[1] 樊立[1] 

机构地区：[1]湖北省孝感市中心医院肝胆外科,432000

出　　处：《腹部外科》2008年第3期157-158,共2页Journal of Abdominal Surgery

摘　　要：目的探讨肝血管解剖性显露技术在肝叶切除术中的意义。方法回顾性分析我院2005年5月-2007年8月使用肝血管解剖性显露技术行肝叶切除41例的临床资料。结果本组41例无一例出现术后出血不止或急性肝功能衰竭，均顺利一期康复出院。结论肝血管解剖性显露技术充分显露了肝需切范围内的主要血管，易于辨认，避免了余肝组织的缺血、淤血以及由此引发的大量肝细胞坏死所导致的急性肝功能衰竭、感染、化脓、胆汁漏及因流出道梗阻导致的出血不止等并发症的发生，是一种安全、有效、无严重副作用的切肝技术。Objective To investigate the implication of microscopic dissection of hepatic vessels in hepatectomy. Methods A retrospective analysis was done in 41 patients treated by hepatectomy. The lobes of the liver were resected after exposing the large vessels of lobes. Results A total of 41 hepatic lobes were successfully removed. None of these patients developed severe hemorrhage or acute hepatic failure after operation, and all patients discharged with recovery of first stage. Conclusion Microscopic dissection can clearly expose those main vessels of the excisional lobes, and can avoid acute hepatic failure, infection and leakage of bile because of ischemia and congestion and severe bleeding resulting from outflow obstruction of the retaining lobes. Therefore,it is a safe and feasible technique without serious adverse effects.

关 键 词：肝切除术 血管 解剖 

分 类 号：R735.7[医药卫生—肿瘤] R653[医药卫生—临床医学]