半离体肝切除治疗第二肝门的肝脏肿瘤(附3例报告)  

Ante-situm hepatectomy for liver tumors of second hepatic portal:a report of 3 cases

作　　者：杨宗锐 邰升[1] 孙晨[1] 李天伟 Yang Zongrui;Tai Sheng;Sun Chen;Li Tianwei(Department of Hepatobiliary Surgery,Second Affiliated Hospital,Harbin Medical University,Heilongjiang Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院肝胆外科,黑龙江哈尔滨150086

出　　处：《腹部外科》2023年第2期134-138,共5页Journal of Abdominal Surgery

摘　　要：目的总结半离体肝切除治疗第二肝门的肝脏肿瘤的治疗经验。方法回顾性分析哈尔滨医科大学附属第二医院2020年4月至2021年7月期间3例接受半离体肝切除病人的临床资料。结果3例病人均为肝内胆管细胞癌,均接受半离体肝切除,术程均顺利。病例1术后第4天肝功能指标基本正常,术后第11天出院;病例2术后出现肝性脑病、小肝综合征等严重并发症,术后第4天家属放弃继续治疗;病例3术后第4天肝功能指标基本正常,术后第9天出院。结论半离体肝切除为邻近第二、三肝门区域或侵及肝后下腔静脉的肝脏肿瘤病人提供了手术机会。Objective To summarize the experience of treating 3 cases of liver tumors of second hepatic portal by ante-situm hepatectomy.Methods From April 2020 to July 2021,clinical data and treatments were retrospectively reviewed for 3 patients undergoing ante-situm hepatectomy.Results All operations were successful.Patient No.1:Liver function parameters basically normalized at Day 4 post-operation and discharge occurred at Day 11 post-operation;Patient No.2:Severe complications such as hepatic encephalopathy and small-for-size syndrome occurred and his family gave up further treatment at Day 4 post-operation;Patient No.3:Liver function parameters basically normalized at Day 4 post-operation and discharge occurred at Day 9 post-operation.Conclusion Ante-situm hepatectomy is indicated for patients with liver tumors adjacent to second/third hepatic portal regions or involving posterior inferior vena cava.

关 键 词：半离体肝切除 下腔静脉 肝肿瘤 胆管肿瘤 

分 类 号：R657.3[医药卫生—外科学]