Saline injection method for facilitating the liver hanging maneuver during hepatectomy for a large right liver tumor.
Saline injection method for facilitating the liver hanging maneuver during hepatectomy for a large right liver tumor.
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盐水注射法促进右肝大肿瘤肝切除术中的肝脏悬挂操作。
DOI：
10.1016/j.jamcollsurg.2014.01.065
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Hirata K.
中科院分区：
文献类型：
--
作者：
Mizuguchi T;Kawamoto M;Meguro M;Okita K;Nishidate T;Furuhata T;Hui TT;Hirata K.
方法2005年5月至2013年8月，我们对39例大型肿瘤进行了右肝切除术。尝试在手术早期应用LHM，即在肝脏动员之前。在传统的LHM中，通过肝实质和IVC之间的差距将大血管夹从肝脏底部插入到其头侧。如果我们在将夹子穿过差距时遇到任何困难，我们会在LHM之前进行肝脏动员。自2010年4月以来，我们连续在12例病例中使用生理盐水注射方法治疗LHM。在盐水注射方法中，我们设置了一个输注系统，其中将10- 20-mL注射器连接到充满盐水的100-cm输注管。然后将8 Fr支架引流导管（Cholangioentero-Tube，Create Medical Co Ltd）连接至输注系统，并从IVC入口底部插入肝实质和IVC之间的差距。在插入导管期间，通过手动注射注入尽可能多的生理盐水。通常，我们使用约200 mL生理盐水进行这项技术。我们继续注射生理盐水，直到导管穿过前面提到的间隙到达右肝静脉和肝中静脉之间的孔（视频）。常规方法27例，生理盐水注射法12例。
METHODSBetween May 2005 and August 2013, we performed 39 right hepatectomies for large tumors. Attempts were made to apply the LHM at an early stage of the operation, ie, before liver mobilization. In the conventional LHM, a large vascular clamp was inserted from the bottom of the liver to its cranial side through the gap between the liver parenchyma and the IVC. If we experienced any difficulties in passing the clamp through the gap, we performed liver mobilization before the LHM. Since April 2010, we have used the saline injection method for the LHM in 12 consecutive cases. In the saline injection method, we set up an infusion system in which a 10-to 20-mL syringe was connected to a 100-cm infusion tube filled with saline. An 8-Fr stent drainage catheter (Cholangioentero-Tube, Create Medical Co Ltd) was then connected to the infusion system and inserted into the gap between the liver parenchyma and the IVC from the bottom of the IVC portal. As much saline as possible was injected during insertion of the catheter by hand injection. Typically, we used approximately 200 mL of saline for this technique. We kept injecting saline until the catheter had penetrated through the previously mentioned gap to the hole between the right and middle hepatic veins (video). The conventional method was applied in 27 cases, and the saline injection method was applied in 12 cases.
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使用盐水连接烧灼对主要肝切除术后肝功能的优势
DOI：
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发表时间：
2007
期刊：
影响因子：
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作者：
Toru;Mizuguchi;Tadashi;Katsuramaki;Minoru;Nagayama;Makoto;Meguro;Takayuki;Nobuoka;Yasutoshi;Kimura;Koji;Yamaguchi;Tomohisa;Furuhata;Koichi;Hirata
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影响因子：
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作者：
M. Takatsuki;S. Eguchi;M. Hidaka;Y. Tajima;T. Kanematsu
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DOI：
10.1080/13651820701216208
发表时间：
2007
期刊：
HPB : the official journal of the International Hepato Pancreato Biliary Association
影响因子：
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作者：
U. Aydin;P. Yazıcı;M. Zeytunlu;M. Kılıç;A. Çoker
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A. Çoker
对短肝静脉的解剖学研究，特别是在没有通常动员的情况下对肝脏进行悬挂操作时尾状叶的描绘。
DOI：
10.1007/s005340200005
发表时间：
2002
期刊：
Journal of hepato-biliary-pancreatic surgery
影响因子：
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作者：
Toshio J. Sato;I. Hirai;G. Murakami;T. Kanamura;F. Hata;K. Hirata
通讯作者：
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影响因子：
3.8
作者：
Chen, Xiao Ping;Zhang, Wan Guang;Qiu, Fa Zu
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Qiu, Fa Zu