经胸腹部联合切口的巨大肝血管瘤切除术  

Giant hepatic hemangioma resection via chest and abdomen joint incision

作　　者：卢欣[1] 徐意瑶[1] 毛一雷[1] 桑新亭[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院肝脏外科,100730

出　　处：《中华消化外科杂志》2014年第1期22-25,共4页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金面上项目（30970623、91229120）;国家国际合作项目（2010DFA31840、2010DFB33720）

摘　　要：北京协和医院肝脏外科于2012年4月10日成功完成1例巨大肝血管瘤切除手术，手术历时11h，肿瘤最长径为48cm。该患者22年前曾因肝脏肿瘤行经胸、腹联合切口探查，但因术中出血较多未能切除肿瘤。该手术的成功受益于精准肝切除，包括CT血管重建技术、三维立体肝脏储备功能评估、术中控制性低中心静脉压以及精细肝切除操作技术的综合应用。Hepatic hemangioma is a common benign tumor of liver, while hepatic hemangioma with a diameter 〉 3 cm is rarely seen in clinical practice. A female patient with a giant hepatic hemangioma （ diameter = 48 cm） received tumor resec- tion via chest and abdomen joint incision at the Peking Union Medical College Hospital on April 10, 2012. The patient received exploratory laparotomy for hepatic tumor via chest and abdomen joint incision 22 years ago, while the operation was failed due to intraoperative bleeding. The success of the opera- tion benefited from comprehensive application of computed tomo- graphy angiography reconstruction technique, three-dimensional liver reserve function assessment, intraoperative controlled low central venous pressure, total hepatic vascular exclusion and precise hepatectomy technique.

关 键 词：肝血管瘤 精准肝切除 三维立体肝脏储备功能检查 

分 类 号：R735.7[医药卫生—肿瘤]