Complete resection of the caudate lobe of the liver: Technique and results
Complete resection of the caudate lobe of the liver: Technique and results
复制标题
肝尾状叶完全切除：技术和结果
DOI：
10.1002/bjs.1800830812
复制
发表时间：
1996
影响因子：
9.6
通讯作者：
L. Blumgart
中科院分区：
文献类型：
--
作者：
D. Bartlett;Y. Fong;L. Blumgart
肝尾状叶是转移性或原发性肝肿瘤的常见部位。本文介绍了尾状叶全切除术的手术解剖，分析了手术技术、手术效果和术后发病率。这些数据是对30个月内连续21例完整尾状叶切除术的回顾性回顾。最常见的诊断是转移性结直肠癌（9例），最常见的手术是扩展左肝叶切除术和整体尾状叶切除术。4例患者行孤立完整尾状叶切除术。手术时间中位数为5小时，出血量中位数为1160毫升，主要并发症发生率为38%（8例患者出现9例主要并发症），死亡率为10%（2例死亡）。平均住院时间为11天。这一系列证明了常规完整尾状叶切除肿瘤的可行性与肝切除的一般原则。孤立的尾状叶切除术可以安全进行，并且在肝大切除术中加入尾状叶切除术不会显著增加手术的发病率或死亡率。
The caudate lobe of the liver is a frequent site of involvement by metastatic or primary liver tumours. This study describes the surgical anatomy and analyses the operative technique, results and postoperative morbidity of complete caudate lobectomy. The data represent a retrospective review of 21 consecutive complete caudate lobe resections performed over a 30‐month period. The most common diagnosis was metastatic colorectal cancer (nine patients) and the most common procedure was extended left hepatic lobectomy with en bloc caudate lobectomy. Four patients underwent isolated complete caudate lobe resection. The median operating time was 5 h and the median blood loss was 1160 ml. The major complication rate was 38 per cent (nine major complications in eight patients) with 10 per cent mortality rate (two deaths). The median hospital stay was 11 days. This series demonstrates the feasibility of routine complete caudate lobe resection for tumours with general principles of liver resection. Isolated caudate lobectomy can be performed safely and the addition of caudate lobectomy to major liver resection does not add significantly to the morbidity or mortality of the procedure.