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第Ⅷ肝段巨大型海绵状血管瘤不必常规进行全肝血流阻断法切除,下腔静脉可预置阻断带,但膈下肝上下腔静脉分离有时较困难,致预置阻断带不成功。本组4例手术顺利完成的关键就在于在常温下间歇阻断第一肝门入肝血流的同时,用剥离法将肿瘤剥除。此种手术方法与行第Ⅷ肝段切除术相比,既简便又安全,值得推广。
The massive VIII hepatic cavernous hemangiomas need not be routinely removed by total hepatic blood flow occlusion. The inferior vena cava can be preset with a blockage zone. However, the subcaval hepatic vena cava is sometimes difficult to separate, resulting in a preset blockage zone. unsuccessful. The key to the successful completion of the 4 cases in this group was to intermittently block the hepatic blood flow from the first porta hepatis at room temperature and remove the tumor with a stripping method. This surgical method is simpler and safer than the VIII hepatectomy. It is worth promoting.