论文部分内容阅读
目的探讨选择性半肝血流阻断方法在大肝癌切除术中的临床意义。方法回顾性分析近3年来40例大肝癌切除术患者的临床资料,40例术中均采用选择性阻断肿瘤侧半肝入肝血流和出肝血流的方法。结果 40例大肝癌切除均顺利完成。术中出血量100～800 mL,平均360 mL。25例术中未输血。手术时间90～150 min,平均116 min;术后恢复良好并痊愈出院,无肝功能衰竭及其他严重并发症,无围手术期死亡。结论选择性半肝血流阻断是一种安全有效的肝血流阻断方法,其具有控制出血确切、肝功能损害小、避免肠黏膜屏障损伤、防止空气栓塞和肿瘤播散转移的优点,适用于合并肝硬化的大肝癌或巨大肝癌的切除。
Objective To investigate the clinical significance of selective hemifloxia occlusion in the treatment of major hepatic cancer. Methods Retrospective analysis of 40 cases of patients with major liver resection in the past 3 years clinical data, 40 cases were used to selectively block the tumor side of the liver into the liver and hepatic blood flow and blood flow method. Results 40 cases of large hepatocellular carcinoma were successfully completed. Intraoperative blood loss of 100 ~ 800 mL, an average of 360 mL. 25 cases of intraoperative blood transfusions. The operation time ranged from 90 to 150 minutes (average, 116 minutes). After the operation, the patients recovered well and were discharged. There were no liver failure and other serious complications and no perioperative death. Conclusion Selective hemivertebra blockade is a safe and effective method of blocking hepatic blood flow, which has the advantages of controlling bleeding accurately, reducing the damage of liver function, avoiding damage of intestinal mucosal barrier, preventing air embolism and disseminating metastasis of tumor, It is suitable for the resection of large liver cancer or huge liver cancer with cirrhosis.