右侧入路联合反向染色法处理肝尾状叶肝癌破裂出血1例并文献复习

发布时间：2018-02-12 19:20

本文关键词： 癌肝细胞破裂自发性肝切除术尾状叶　出处：《中国普通外科杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的:探讨单纯经右侧入路联合反向染色法完整切除肝尾状叶肝癌破裂出血的安全性及可行性。方法:回顾性分析1例肝尾状叶肝癌伴破裂出血患者的临床资料并复习相关文献。结果:术前对患者的肝功能及肿瘤情况进行严密评估,排除手术禁忌证后,患者成功行右侧入路联合反向染色法(对肝右后叶染色区分尾状叶的右侧边界)完整切除肝尾状叶,术中未阻断入肝血流、出肝血流、下腔静脉,术后患者肝功能恢复良好。术后6个月复查,未见肿瘤复发。结论:单纯行右侧入路联合反向染色法完整切除肝尾状叶肿瘤破裂出血是安全可行的。
[Abstract]:Objective: to investigate the safety and feasibility of complete resection of caudate lobar liver cancer with rupture bleeding via the right approach and reverse staining. Methods: a case of caudate lobe liver cancer with hemorrhage was retrospectively analyzed. Results: the liver function and tumor status of the patients were closely evaluated before operation. After exclusion of contraindications, the patients were successfully treated with right approach combined with reverse staining (the right margin of the caudate lobe was stained to distinguish the caudate lobe of the liver). The hepatic caudate lobes were removed completely without blocking the hepatic blood flow, leaving the hepatic blood flow, and inferior vena cava. The liver function of the patients recovered well 6 months after operation and no recurrence was found. Conclusion: it is safe and feasible to complete resection of ruptured hemorrhage of caudate lobe tumor by right side approach combined with reverse staining.
【作者单位】：南昌大学第二附属医院肝胆胰外科;江西省永修县人民医院普通外科;
【基金】：国家自然科学基金资助项目(81560396) 江西省卫生厅科技计划基金资助项目(20131077) 江西省教育厅科学技术基金资助项目(GJJ150260)
【分类号】：R735.7

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