Partial autotransplantation of the liver in hepatocellular carcinoma complicating cirrhosis
Partial autotransplantation of the liver in hepatocellular carcinoma complicating cirrhosis
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部分自体肝脏移植治疗肝硬化肝细胞癌
DOI：
10.1002/bjs.1800790630
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发表时间：
1992
影响因子：
9.6
通讯作者：
K. Ozawa
中科院分区：
文献类型：
--
作者：
K. Kumada;Y. Yamaoka;T. Morimoto;K. Tanaka;F. Moriyasu;T. Yamaguchi;K. Mori;A. Tanaka;K. Ozawa
肝切除术成功的首要条件是残肝有足够的功能储备。虽然正常肝脏允许切除超过70%的肝脏总体积，但在肝脏器官中的安全切除程度要小得多，从而限制了伴随肝癌的手术范围3。一个病例是肝恶性肿瘤的病人，在传统的切除将需要切除左肝加尾状叶，约占总肝体积的60% 4。病人有限的肝功能储备使得如此大的切除术风险太大5。这个问题是通过在肝癌切除后将大部分无肿瘤组织恢复给病人来解决的
The first requisite for success in hepatic resection is sufficient functional reserve of the residual liver. While the normal liver allows removal of more than 70 per cent of the total hepatic volume, the extent of safe resection in the cirrhotic organ is far less', thereby limiting the scope of surgery for concomitant hepatomaZs3. A case is presented of hepatic malignancy in a cirrhotic patient in whom conventional removal would have entailed resection of the left liver plus the caudate lobe, amounting to approximately 60 per cent of the total hepatic volume4. The patient's limited hepatic functional reserve made such a major resection too risky5. The problem was tackled by restoring much of the tumour-free tissue to the patient after bench removal of the hepatoma
使用超声检查和计算机断层扫描测定体内肝体积。
影响因子：
29.4
作者：
VanThiel,DH;Hagler,NG;Schade,RR;Skolnick,ML;Heyl,AP;Rosenblum,E;Gavaler,JS;Penkrot,RJ
通讯作者：
Penkrot,RJ