精准外科理念指导下的肝尾叶切除七例报告  

Hepatic caudate lobectomy guided by principles of precise surgery:report of 7 cases

作　　者：高静涛[1] 秦建伟[1] 李庆怀[1] 

机构地区：[1]解放军第一医院肝胆外科兰州军区肝胆外科中心,兰州730030

出　　处：《中华普外科手术学杂志（电子版）》2011年第3期30-32,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨肝尾叶切除中精准外科理念的指导价值。方法以精准外科理念指导手术切除的肝尾状叶肿瘤7例患者,对血流控制方式,肝切除方式,出血量、输血量及并发症进行分析。结果采用个体化的血流控制方式,5例病灶整块切除,2例分别切除,中位出血量800ml,红细胞悬液输入量0～5U,7例患者术后均恢复顺利,无重大并发症。随访0.5～7年,5例肝血管瘤患者情况良好,1例肝细胞癌患者已无瘤生存半年,1例肝囊腺癌患者因严重抑郁于术后7个月病故。结论以精准外科理念为指导,可以达到肝尾叶切除的安全性与有效性及微创化的理想统一。Objective To investigate the significance of principles of precise surgery in hepatic caudate lobectomy.Methods Clinical data of 7 patients who had undergone precise hepatic caudate lobectomy were analyzed retrospectively concerning hepatic vascular control,techniques of resection,blood loss,blood transfusion,and postoperative complications.Results With individualized method of hepatic vascular control,5 of 7 neoplasms were resected en bloc with a median blood loss of 800 ml,and transfusion of erythrocyte suspension 0-5 U.All the 7 patients recovered without major complications.Follow-up for 0.5-7 years on average revealed that 5 patients with hepatic cavernous hemangioma were well,1 patient with hepatocellular carcinoma survived for half a year,and 1 patient with cystadenocarcinoma died of serious depression 7 months after operation.Conclusions Our experience suggests that guided by principles of precise surgery,hepatic caudate lobectomy is effective,safe and less traumatic

关 键 词：肝肿瘤 肝切除术 精准外科 

分 类 号：R735.7[医药卫生—肿瘤]