肝血管瘤九例手术治疗体会  

Surgical resection of giant hepatic hemangiomas

作　　者：刘金彪[1] 张广平[1] 邓淼[1] 

机构地区：[1]河南科技大学第一附属医院普外科,洛阳471003

出　　处：《腹部外科》2004年第3期162-163,共2页Journal of Abdominal Surgery

摘　　要：目的　探讨肝血管瘤手术适应证和手术方法。方法　回顾性分析 9例肝血管瘤病人手术治疗的临床资料。结果　本组共 9例。其中 2例为不能排除肝癌 ,1例瘤体生长过快 ,1例肿瘤体积大且位置位于肝表面 ,其余 5例均因有不同程度的不适而要求手术。手术方法 :右半肝切除 4例 ,第 6段切除 1例 ,第 6、7段切除 1例 ,不规则切除 3例。手术视野充分暴露、肝门阻断、预先选择性结扎进入瘤体的肝动脉 ,指断法切除或应用彭氏多功能手术器 ,全部手术顺利。结论　肝血管瘤在不能排除肝癌 ,瘤体生长过快 ,肿瘤体积大且位置位于肝表面 ,有破裂可能且伴有不同程度的不适的应积极手术 ,手术行肝血管瘤切除较安全 。Objective To study the surgical indication and extent of resection of giant hemangioma. Methods Nine patients with hemangioma of at least 7 cm in diameter were studied between Jan. 1995 and Dec. 2003. Medical records were analyzed retrospectively. Results All patients had surgical treatment. Of the 9 cases of hemangiomas, diagnosis was not clear in 2 cases, the size of the tumor was increased rapidly in 1 case and 1 tumor was large and close to the liver surface. Hilar dissection was done to control the lobar vascular structure. Right hepatectomy, segmentectomy and non-anatomical resection were done according to the size and location. Conclusion Although resection of giant hemangioma of liver is safe, the indication for resection should carefully analyzed before operation. The key technique is to control the bleeding.

关 键 词：肝血管瘤 治疗 外科手术 适应证 

分 类 号：R735.7[医药卫生—肿瘤]