临床肝胆病杂志2012，Vol.28Issue(12)：915-916,925,3.
婴幼儿肝脏肿瘤行精准肝切除术的临床效果及体会
Clinical outcomes of partial hepatectomy and management experience in pediatric hepatic cancer patients
张明昌 1王亚珍 1刘亚辉2
作者信息
- 1. 辽源矿业集团职工总医院普外科,吉林辽源 136201
- 2. 吉林大学白求恩第一医院肝胆胰外科,长春 130021
- 折叠
摘要
Abstract
Objective To perform a retrospective analysis of curative effect and complications associated with partial hepatectomy in pediatric patients treated for liver tumors at our hospital. Methods The clinical records of 12 pediatric patients, ranging in age from 5 to 34 months, who underwent partial hepatectomy from December 2009 to October 2011, were reviewed retrospectively. Data extracted for analysis included preoperative symptoms, perioperative management and operative method, postoperative management, complications, survival, and follow-up findings. Results The partial hepatectomy was performed successfully in all 12 cases. The average tumor size was 8 cm. The average operation time was 40 min (range; 30 -80 min) , and the average intraoperative blood loss was 25 ml (range; 10 -40 ml). The mean length of hospital stay was 8 days ( range; 7 - 9 days ) . None of the cases had obvious fluid in the drainage tube when removed at day 2 after surgery. All patients were discharged without complications. Pathological diagnosis identified eight hepatoblastomas, two hepatic he-mangiomas, and two hamartomas. No tumor reoccurrence was detected during follow - up (range: 1 month to 2 years). Conclusion Partial nepateetomy is a safe and effective treatment for liver tumors in pediatric patients. This surgical procedure is associated with minimal trauma, rapid recovery and few complications, and may be a feasible treatment option for early childhood liver cancer.关键词
肝肿瘤/肝切除术/婴幼儿Key words
liver neoplasms/ hepatectomy/ children分类
医药卫生引用本文复制引用
张明昌,王亚珍,刘亚辉..婴幼儿肝脏肿瘤行精准肝切除术的临床效果及体会[J].临床肝胆病杂志,2012,28(12):915-916,925,3.
