肝脏拖出在特殊部位肝外伤手术中的应用
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【摘要】 目的 总结肝脏拖出在8例特殊部位肝外伤手术中应用的经验。方法 应用肝脏拖出实施第VII段或第VIII段、尾状叶等特殊部位肝外伤手术共8例,行间歇性肝门阻断。其中2例行挫裂伤下腔静脉壁修补,1例在第三肝门肝短静脉逐个结扎后,拖出翻转行尾状叶切除门静脉后壁裂伤修补。术中肝门阻断时间(55±21)min,出血量(2140±750)ml,手术时间(75±42)min。结果 全组无手术死亡,手术过程顺利,术中暴露病变清晰,效果满意。结论 应用肝脏拖出术,能解决特殊部位肝外伤的术野显露问题,从而为该部位外伤的处理提供良好的视野和空间。
【关键词】肝外伤;特殊部位;肝拖出术
The application of dragging out the liver from the abdomen in resection of special position of the liver trauma
WANG Xue-jiu.SUN Shan-lin,ZHANG Zheng-tao,et al.Department of General surgery,Fuyang people,sHospital.Fuyang 23600,China
【Abstract】 Objective To summarize the experience of dragging out the liver from the abdomen in resection of special position of the liver trauma.Methods From 2003 to 2008,Caudate lobectomy、Ⅷ Segmentectomy of liver,right hepatectomy:including 1case with injury from caudate lobe and portal vein and 7cases with injury from segment Ⅷ of liver were performed in 8cases patients with dragging out the liver from abdomen.The mean intraoperative blood loss was (2140±750)ml,meantime of vascular occlusion of inflow(55±21)min and meantime of resection(75±42)min ......
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