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本文报道常温下经腹无血切肝18例治疗体会。经腹屋顶状切口,显露好,不需要开胸,阻断顺序为肝动脉、门静脉、胆总管、肝下下腔静脉、肝上下腔静脉。重点介绍了肝上下腔静脉的游离及阻断法。应用全肝血流阻断法做肝叶切除,术中出血量少,切肝界限清楚,对一些巨大的肝肿瘤、右后叶肿瘤,用其它手术方式难以切除的肝脏占位病变,严重肝外伤等,施行此方法可以切除,扩大了切肝范围,提高了手术切除率。
This article reported 18 cases of abdominal bloodless liver cuts at room temperature. The ventral roof-like incision revealed well and did not require thoracotomy. The order of occlusion was hepatic artery, portal vein, common bile duct, subhepatic inferior vena cava, and superior and inferior vena cava. The method of free and blocking of the superior and inferior vena cava was highlighted. Hepatic lobectomy was performed with total hepatic blood flow occlusion. The amount of intraoperative blood loss was small, and the cut margin was clear. For some giant liver tumors, right posterior lobe tumors, liver lesions that were difficult to remove by other surgical methods, severe liver Trauma, etc., this method can be removed, expand the scope of the liver, and improve the surgical resection rate.