改良式绕肝提拉法前入路在右半肝切除术中的应用  

The application of modified liver hanging maneuver method by anterior approach in right anterior hepatectomy

作　　者：罗昆仑[1] 方征[1] 徐健[1] 董志涛[1] 李界明[1] 

机构地区：[1]解放军第101医院肝胆外科南京军区创伤研究所,江苏无锡214044

出　　处：《局解手术学杂志》2009年第4期227-228,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的评价改良式绕肝提拉法前入路在右半肝切除术中的临床应用价值。方法提出重视"手术高危区"的解剖分离,建立肝后隧道,置单或双悬吊带提拉肝脏,绕肝提拉法前入路进行右半肝切除术。结果本组7例,包括肝癌2例、肝血管瘤2例、严重肝损伤2例及右肝内胆管结石1例,手术均获得成功,未发生与本术式相关的并发症。结论改良式绕肝提拉法前入路进行右半肝切除术安全可靠。此法同时适用于肝良性病变及严重肝损伤的右半肝切除术,是值得推荐的一种手术方式。Objective To evaluate the clinical application of the modified liver hanging maneuver method by anterior approach in right anterior hepatectomy.Methods To introduce the emphasis on anatomical separation in＂high-risk region of operation＂.First set up retro-hepatic tunnel,then lift liver with single or double suspension slings,and practice right anterior hepatectomy with liver hanging maneuver method by anterior approach.Results In all the 7 cases,including two cases of liver cancer,two cases of hepatic hemangioma,2 cases of severe liver injury and 1 case of right hepatic bile duct stones.All the operations had been practiced successfully without surgery-related complications.Conclusion It is safe and reliable to practice right anterior hepatectomy with liver hanging maneuver method by anterior approach.This method applies to right hepatectomy in both benign hepatic lesion and severe liver injury,it is a recommendable surgery.

关 键 词：绕肝提拉法 肝后隧道 前入路 肝切除术 

分 类 号：R657.3[医药卫生—外科学]