经前路改良式绕肝提拉法在右半肝切除术中的应用
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罗昆仑 E-mail:lkl197041@yahoo.com.cn

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Application of modified liver hanging maneuver method via anterior approach in right hepatectomy
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    摘要:

    目的:评价改良式绕肝提拉法前入路在右半肝切除术中的临床应用价值。
    方法:细致解剖分离肝后与下腔静脉前间隙,建立肝后隧道,置弹力带提拉肝脏,绕肝提拉法前入路在仅阻断病肝侧血流的情况下,进行右半肝切除术。
    结果:全组10例,包括肝癌5例,肝血管瘤2例,肝胆管结石2例,严重肝损伤1例,手术均获得成功,未发生与本术式相关的并发症。
    结论:改良式绕肝提拉法进行右半肝切除术仅阻断病肝侧血流,手术从容且安全可靠。此法适用于肝良、恶性病变及严重肝损伤的右半肝切除术,是值得推荐的一种手术方式。

    Abstract:

    Objective:To evaluate the value of clinical application of modified liver hanging maneuver method via  anterior approach in right hepatectomy.
    Methods:Firstly, a retrohepatic tunnel was developed, then the liver was elevated with single or double suspension slings, and right hepatectomy was performed with liver hanging maneuver method via anterior approach.
    Results:Ten cases included 5 cases of liver cancer, 2 cases of hepatic hemangioma, 2 cases of intrahepatic stones, and 1 case of severe liver injury. All the operations were carried out successfully without surgery-related complications.
    Conclusions:The liver hanging maneuver is a safe and reliable method for right hepatectomy. This method is recommended for right hepatectomy in both benign and malignant hepatic lesions and severe liver injury.

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罗昆仑|方征|董志涛|徐健|吴胜|李界明.经前路改良式绕肝提拉法在右半肝切除术中的应用[J].中国普通外科杂志,2010,19(7):790-792.
DOI:10.7659/j. issn.1005-6947.2010.07.017

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  • 收稿日期:2009-07-16
  • 最后修改日期:2010-03-24
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  • 在线发布日期: 2010-07-15