APPLICATIONOFHEPATOVASCULAROCCLUSIONINHEPATOCELLULARCARCINOMARESECTION_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LaiJiaming , LiangLijian , LiDongming.

DepartmentofHepatobiliarySurgery,FirstAffiliatedHospital,ZhongshanUniversityofMedicalSciences,Guangzhou510080;

Corresponding author：

Keywords：

Vascularocclusion; Hepatocellularcarcinoma; Liverresection

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Selectionofandinfluenceofseveralhepatovascularocclusionsonintraoperativeandpostoperativefactorswereinvestigatedinaseriesofhepatocelluarcarcinoma(HCC)patientsundergoingliverresection.Comparisonandstatisticalanalysisofseveralobservationindexeswerecarriedoutin163HCCpatientsexperiencingliverresectionwithdifferentvascularocclusions,versus65caseswithoutvascularocclusions,whichselectedfromourhospitalduringthesameperiodoverthepast5years.Results:Hepatovascularocclusionsproducedsomeliverparenchymainjury,althoughcontrollingintraoperativebleeding.Inthestudy,advantagesanddisadvantagesofthreehepatovascularocclusionsweredemonstrated,including:①simplicityandconvenienceinportaltriadclamping(PTC);butocclusiontimelimitedandresultinginsevereliverfunctioninjury;②widerliverfunctioninjuryandquickerrecoverydespitelongerocclusioninhemihepaticvascularocclusions(HVO);③limitedapplicationofnormothermichepaticvascularexclusion(NHVE)forwastetimeandcomplexity.WeconcludethatHVOisrecommendedasthefirstselectionformostliverresection,exceptportalandcentraltumors.

Citation： LaiJiaming,LiangLijian,LiDongming.. APPLICATIONOFHEPATOVASCULAROCCLUSIONINHEPATOCELLULARCARCINOMARESECTION. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1999, 6(4): 213-215. doi: Copy

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1. 　陈孝平,吴在德,裘法祖.有关肝段切除的几个问题.中国实用外科杂志,1994;14(3)∶153.
2. 　刘鹏熙,吕新生,韩　明等.肝门阻断后细菌及毒素移位的研究.中华实验外科杂志,1997;14(1)∶32.
3. MiyagawaS,MakuuchiM,KawasakiS,etal.Changesinserumanylaselevelfollowinghepaticresectioninchronicliverdisease.ArchSurg,1994;129(6)∶634.
4. 　梁力建,赖佳明,黄洁夫.单侧入肝血流选择性阻断肝切除术.中国实用外科杂志,1996;16(3)∶146.
5. MakuuchiM,MoriT,GunvenP,etal.Safetyofhemihepaticvascularocclusionduringresectionoftheliver.SurgGynecalObster,1987;164(2)∶155.
6. BelghitiJ,MounR,ZanteE,etal.Portaltriadclampingorhepaticvascularexclusionformajorliverresection.AnnSurg,1996;224(2)∶155.
7. 　MiyagawaS,MakuuchiM,KawasakiS,etal.Criteriaforsafehepaticresection.AmJSurg,1995;169(6)∶589.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

APPLICATIONOFHEPATOVASCULAROCCLUSIONINHEPATOCELLULARCARCINOMARESECTION

Abstract Full text Figures/Tables Video References Cited by

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