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目的 绕肝提拉法 (liverhangingmaneuver)进一步提高前入路肝切除术 (anteriorapproach)的安全性。方法 钝性分离肝后下腔静脉前间隙而形成肝后隧道。通过该隧道安放绕肝带 ,前入路肝切除时拉紧绕肝带 ,配合自行设计的止血板 ,完成 6例复杂肝切除术。结果 6例成功安放绕肝带 ,未发生与该操作有关的并发症 ,前入路肝切除时肝正中裂界面内管道显露清楚 ,绕肝带具有指示作用。结论 复杂肝切除时使用绕肝带和止血板 ,有助于提高前入路肝切除的安全性。保证断肝能在最短的界面上进行。
Objective To further improve the safety of anteriorapproach with liverhangingmaneuver. Methods After blunt dissection of the posterior inferior vena cava anterior hepatic tunnel was formed. The tunnel was placed around the liver band, and the anterior approach hepatectomy was performed around the liver band. In combination with the designed hemostatic plate, six cases of complicated hepatectomy were completed. Results 6 cases were successfully placed around the liver band, no complications related to this operation occurred. The anterior hepatic duct resection showed a clear delineation of the duct and an indication around the liver band. Conclusions The use of hepatic band and hemostatic plate in complicated hepatectomy may help to improve the safety of anterior hepatectomy. Liver can be broken in the shortest possible interface.