Hepatic resection: perioperative course and management.
Hepatic resection: perioperative course and management.
复制标题
肝切除术：围手术期过程和管理。
DOI：
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发表时间：
1997
影响因子：
0.8
通讯作者：
Y. Yamaoka
中科院分区：
文献类型：
--
作者：
A. Tanaka;Y. Yamaoka
正常的肝脏甚至可以耐受带尾状体切除的右三叶切除术，这导致肝脏体积减少80%，而失代偿的肝硬化肝脏甚至不能耐受部分肝切除术。这可归因于功能体积减少和个体肝细胞功能恶化，这是由不适当的术中操作和术后管理引起和放大的。肝切除术中应考虑与肝硬化、黄疸、慢性活动性肝炎等肝脏疾病、手术技术及术后处理有关的问题。病理生理学和处理这些问题的策略将被描述。
Normal liver can tolerate even a right trisegmentectomy with caudate resection which results' in a reduction of liver volume by 80%, while a decompensated cirrhotic liver cannot tolerate even partial hepatic resection. This can be ascribed to decreased functional volume and the deterioration of individual hepatocyte function, which is caused and amplified by inappropriate intraoperative procedures and postoperative management. Problems related to liver diseases, including liver cirrhosis, jaundice and chronic active hepatitis, operative techniques and postoperative management should be considered during hepatic resection. Pathophysiology and tactics for handling these problems will be described.