中德临床肿瘤学杂志(英文版)2002，Vol.1Issue(1)：13-15,3.
解剖第3肝门切除巨大肝海绵状血管瘤
Resection of Giant Hepatic Cavernous Hemangiomas after Dissection of the Third Porta Hepatis
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作者信息
- 1. 上海第二军医大学东方肝胆外科医院,200438;上海第二军医大学东方肝胆外科医院,200438;上海第二军医大学东方肝胆外科医院,200438;Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China;Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China
- 折叠
摘要
Abstract
Objective To establish a novel and safe operation technique for the resection of giant hepatic cavernous hemangiomas involving the retro-hepatic vena cava.Methods After ligating the hepatic artery of affected lobe, the short hepatic veins at the third porta hepatis were dissected and ligated in-dividually to separate the tumor from the retrohepatic vena cava, followed by the resection of the tumor under intermittent interruption of theporta hepatis.Results A total of 62 giant hepatic cavernous hemangiomas were successfully resected without hepatic vascular exclusion. Right and cau-date lobectomies were done in 27 cases, right hemihepatectomies in 5 cases, right upper segmentectomies in 7 cases, right posterior lobec-tomies in 7 cases, extended left and caudate lobectomies in 10 cases, and caudate lobectomies in 6 cases. The blood transfusion require-ment during operation was 1 400 ml on average. All did well postoperatively during a follow up of 4 - 84 months.Conclusion It is safe and feasible to resect giant hepatic cavernous hemangioma following dissection of the third porta hepatis. Duringoperation the key step is dissection of the short hepatic veins.关键词
肝脏/海绵状血管瘤Key words
liver/cavernous hemangioma分类
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..解剖第3肝门切除巨大肝海绵状血管瘤[J].中德临床肿瘤学杂志(英文版),2002,1(1):13-15,3.
