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这是第一例报道采用离体操作步骤（译者注：这一方法在肾脏手术早已开展，即所谓的工作台手术）施行肝三段以及下腔静脉切除，井将肝左静脉接至以替代下腔静脉的聚四氟乙烯（ PTFE）人造血管上，成功地治疗了1例肝内胆管癌、病人系一30岁妇女，入院前半年已发现肝前段有一4cm直径的肿瘤．但拒绝治疗，然感右上腹疼痛逐渐加重，最终接受手术，作两侧肋缘下切口和上腹正中切口，并切除第8肋。巨大肿瘤起自右肝前段．占满全右时、左肝内段和尾叶，并浸润肝后下腔静脉和3支肝静脉的汇合处。未见转移。切断胆总管、肝动脉和门静脉，按Shaw介绍的方
This is the first case in which an ex vivo procedure was used to perform a three-segment resection of the liver and an inferior vena cava to connect the left hepatic vein to In place of an artificial vascular graft made of PTFE on the inferior vena cava, one case of intrahepatic cholangiocarcinoma was successfully treated. The patient was a 30-year old woman. He had a 4 cm diameter tumor in the anterior segment of the liver half an hour before hospitalization. But refused treatment, but the sense of pain in the right upper abdomen gradually increased, the final surgery, as both the subcostal incision and the epigastric midline incision, and resection of the eighth rib. Huge tumors arise from the anterior segment of the right liver. Occupies the entire right time, the left intrahepatic segment and the tail lobe, and infiltrate the confluence of the posterior inferior vena cava and three hepatic veins. No transfer. Cut off the common bile duct, hepatic artery and portal vein, according to Shaw’s presentation