肝静脉钳夹阻断技术在第二肝门区肿瘤切除术中的应用  

Hepatic vein occlusion in hepatectomy for liver tumor invol-ving second hepatic hilum

作　　者：汪珍光[1] 周伟平[1] 吴孟超[1] 

机构地区：[1]上海第二军医大学东方肝胆外科医院外三科,200438

出　　处：《中华消化外科杂志》2011年第4期312-314,共3页Chinese Journal of Digestive Surgery

摘　　要：肝腔静脉结合部（第二肝门区）肿瘤由于压迫主肝静脉，术中极易撕破肝静脉造成大出血或空气栓塞[1]。经典的选择性肝静脉阻断技术需要将肝静脉在肝外完全游离出来并用止血带悬吊，阻断时收紧止血带使肝静脉闭塞[2-3]。Hepatic vein hemorrhage and air embolism are easily caused during the resection of the tumor involving the second hepatic hilum. Hepatic vein occlusion has been proven to decrease this risk, while classic selective hepatic vein occlusion with tourniquet is technique demanding. We modified the classic method by using Satinsky clamp in hepatic vein dissection and occlusion. Based on the clinical data of 220 patients who received hepatic vein occlusion with tourniquet and 330 patients with Satinsky clamp, we proved that hepatic vein occlusion with Satinsky clamp is simpler, safer and with high success rate.

关 键 词：肝肿瘤 肝切除术 肝静脉阻断 

分 类 号：R735.7[医药卫生—肿瘤]