【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 提出重视“手术高危区”的解剖分离，建立肝后隧道，置单或双悬吊带提拉肝脏，绕肝提拉法前入路进行右半肝切除术。结果 本组7例，包括肝癌2例、肝血管瘤2例、严重肝损伤2例及右肝内胆管结石1例，手术均获得成功，未发生与本术式相关的并发症。结论 改良式绕肝提拉法前入路进行右半肝切除术安全可靠。此法同时适用于肝良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
【关键词】 绕肝提拉法；肝后隧道；前入路；肝切除术
The application of modified liver hanging maneuver method by anterior approach in right anterior hepatectomy
LUO Kunlun, FANG Zheng, XU Jian, DONG Zhitao，LI Jieming (Department of Hepatobiliary Surgery, Trauma Institute of the Nanjing Military Region, No 101 Hospital of PLA, Wuxi Jiangsu 214044, China)
Abstract: Objective To evaluate the clinical application of the modified liver hanging maneuver method by anterior approach in right anterior hepatectomy. Methods To introduce the emphasis on anatomical separation in“highrisk region of operation”.First set up retrohepatic tunnel, then lift liver with single or double suspension slings, and practice right anterior hepatectomy with liver hanging maneuver method by anterior approach. Results In all the 7 cases , including two cases of liver cancer, two cases of hepatic hemangioma, 2 cases of severe liver injury and 1 case of right hepatic bile duct stones. All the operations had been practiced successfully without surgeryrelated complications. Conclusion It is safe and reliable to practice right anterior hepatectomy with liver hanging maneuver method by anterior approach. This method applies to right hepatectomy in both benign hepatic lesion and severe liver injury , it is a recommendable surgery.
Keywords: liver hanging maneuver; retrohepatic tunnel; anterior approach; hepatectomy
Belghiti技术［1］在国内最先由彭淑牖教授引进，并应用于一些难切除的肝肿瘤手术中，译名为绕肝提拉法［2］。本文作者在Belghiti技术基础上加以改进，并扩大其应用范围至肝血管瘤及严重肝损伤时右半肝切除术中，效果满意。现报道如下。
[1] [2] [3] 下一页
您现在的位置： 绿色健康网 >> 医学论文 >> 外科论文 >> 正文