肝脏肿瘤切除术中右侧肾上腺损伤的处理  

Treatment of right adrenal gland injury during liver tumor resection

作　　者：张若愚[1] 王在国[2] 俞武生[2] 林志强[2] 叶振伟[2] 郑惊雷[2] 何润沛[2] 胡夏荣[2] 邓润枢[2] 刘光中[3,4] 

机构地区：[1]东莞市人民医院泌尿外科 [2]东莞市人民医院肿瘤防治中心肿瘤外科,广东东莞523018 [3]四川省肿瘤医院 [4]四川省第二人民医院肝胆胰外科,四川成都610041

出　　处：《中华肿瘤防治杂志》2010年第14期1129-1130,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了总结肝脏肿瘤切除术中右侧肾上腺损伤处理的经验,对涉及右侧肾上腺损伤的101例肝肿瘤切除术患者的临床资料进行分析,并结合文献资料进行总结。全组肝肿瘤切除术均获得成功,合并的右侧肾上腺损伤也全部得到妥善处理。术后大出血6例(5.94%),因大出血死亡1例(0.99%),未发现肾上腺皮质功能减退病例。右侧肾上腺损伤的处理方法有纱布填塞法及贯穿缝合法。前者有并发术后严重出血的危险,建议弃用;后者止血效果确切,而且操作简单,值得推荐。The objective of this study was sum up the experiences of treatment for right adrenal gland injury on liver tumor resection.The clinical data of treatment on right adrenal gland injury for 101 cases with liver tumor resection were reviewed retrospectively and summarized.All cases were treated successfully by liver tumor resection.The cases with right adrenal gland injury have a best course during operation.There were six cases with postoperative hemorrhea （5.9%）.One case died of postoperative hemorrhea （0.99%）.No one with adrenocortical hypofunction occurred.The treatments of right adrenal gland injury include carbasus plugging and transfixing suture.It is opportunity to occur serious postoperative hemorrhage with hemostasis by carbasus plugging.Hemostasis by transfixing suture is the most appropriate for right adrenal gland injury on account of effectiveness and feasibility.

关 键 词：肝肿瘤/外科学 肾上腺/解剖学 肝切除术 

分 类 号：R735.7[医药卫生—肿瘤]