Hepatic subsegmentectomy with segmental hepatic vein sacrifice.
Hepatic subsegmentectomy with segmental hepatic vein sacrifice.
复制标题
肝亚段切除术并牺牲肝静脉。
DOI：
10.1001/archsurg.1990.01410210096015
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发表时间：
1990
影响因子：
--
通讯作者：
S. Taniguchi
中科院分区：
文献类型：
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作者：
M. Beppu;T. Fukuzaki;K. Mitani;K. Fujimoto;S. Taniguchi
局部布-恰利综合征或肝外伤后肝静脉结扎无临床障碍。当考虑到这些发现时，研究肝亚节段切除术中主要肝静脉的牺牲是有意义的。我们对9例肝细胞癌进行了肝亚段切除术。在牺牲肝右静脉的情况下，S7、S8切除3例，S7切除2例，S8切除1例，S5切除1例。在牺牲肝中静脉的情况下，2例患者行S8切除。手术成功，术后无任何问题。此外，患者的术后肝功能测试与常规进行系统节段切除术和亚节段切除术的对照组没有显著差异。通过这样的切除，3例切除成为可能，6例根治性切除成为可能。
There is no clinical disorder in partial Budd-Chiari syndrome or in a major hepatic vein ligation in hepatic trauma. When considering these findings, it is significant to investigate hepatic subsegmentectomies in which a major hepatic vein is sacrificed. We performed such hepatic subsegmentectomies in nine cases of hepatocellular carcinoma. With the sacrifice of the right hepatic vein, S7, S8 resection was done in three patients, S7 resection in two patients, S8 resection in one patient, and S5 resection in one patient. With the sacrifice of the middle hepatic vein, S8 resection was done in two patients. These resections were successfully performed with no postoperative problem. Further, there were no significant differences in postoperative liver function tests of the patients from those of a control group of the commonly performed systematic segmentectomy and subsegmentectomy. By performing such resections, resection was made possible in three cases and curative resection was made feasible in six cases.