精准肝切除在儿童肝脏肿瘤治疗的应用

发布时间：2018-08-01 15:10

【摘要】：目的:总结评价精准肝切除对儿童肝脏肿瘤手术治疗的运用效果。方法:回顾重庆医科大学附属儿童医院肝胆外科2009年1月至2016年12月住院的78例进行精准肝切除治疗的儿童肝脏肿瘤患者,包括男43例,女35例,平均年龄2岁2月。所有患儿术前均完成肝功及高分辨影像学检查术前评估。在精确的术前评估基础上进行缜密的手术方案设计与规划,以最小创伤方式离断肝实质并着重控制术中术后并发症。结果:78例患儿手术过程顺利,手术时间平均为199min(60min-480min),术中失血量平均412ml(10ml-3600ml),手术当中所有患者血流动力学指标稳定。术后2-3d肠功能恢复后进食,肝功能恢复时间平均6d(4d-9d),平均住院时间8d(7d-21d)。结论:精准肝切除术可安全有效地完整切除肝脏肿瘤,术中术后并发症少,随访效果好。
[Abstract]:Objective: to evaluate the effect of accurate hepatectomy on children with liver tumor. Methods: from January 2009 to December 2016, 78 children with liver neoplasms underwent accurate hepatectomy, including 43 males and 35 females, with an average age of 2 months, from January 2009 to December 2016 in the Department of Hepatobiliary surgery, affiliated Children's Hospital of Chongqing Medical University. All the children underwent preoperative assessment of liver function and high-resolution imaging. On the basis of accurate preoperative evaluation, the operative scheme was designed and planned carefully. The liver was cut off with minimal trauma and postoperative complications were controlled. Results the operation time was 199min (60min-480min) and the average blood loss during operation was 412ml (10ml-3600ml). The hemodynamic indexes of all the patients were stable. The average recovery time of liver function was 6 days (4d-9d) and the average hospitalization time was 8 days (7d-21d). Conclusion: accurate hepatectomy can effectively and safely remove hepatic tumors with less postoperative complications and better follow-up results.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.7

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