Angiographic evaluation of hepatoma for surgical treatment.
Angiographic evaluation of hepatoma for surgical treatment.
复制标题
肝癌手术治疗的血管造影评估。
DOI：
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发表时间：
1976
期刊：
影响因子：
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通讯作者：
M. Saku
中科院分区：
文献类型：
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作者：
N. Nagasue;K. Inokuchi;M. Kobayashi;Y. Ogawa;M. Saku
对60例原发性肝癌患者的腹腔动脉和上级肠系膜动脉造影进行回顾性分析，以选择肝叶切除、肝动脉结扎或肝动脉暂时阻断的手术方式。从肝动脉起源、肝癌部位、肝癌大体类型、肿瘤供血动脉、门静脉通畅、肝硬化并存等方面对血管造影进行了研究。强调术前对这些项目的准确了解在对肝癌患者进行任何类型的外科治疗中是重要的。在本系列患者中，11例患者的肿瘤可切除性是可能的，在最近看到的不可切除的肝癌患者中，结扎或反复暂时阻断肝动脉或两者兼而有之，术后灌注化疗。
Celiac and superior mesenteric arteriography of 60 patients with primary carcinoma of the liver was evaluated retrospectively to select patients properly for hepatic lobectomy, ligation of the hepatic artery or temporary occlusion of the hepatic artery. The angiograms were studied from the viewpoints of origin of the hepatic artery, location of hepatomas, macroscopic type of hepatomas, tumor supplying arteries, patency of the portal vein and coexistence of cirrhosis of the liver. It is stressed that an exact knowledge of these items before operation is important in performing any type of surgical treatment for patients with hepatomas. Resectability of the tumor in the present series of patients was possible in 11 patients, and in the recently seen patients with nonresectable hepatomas, ligation or repeated temporary occlusion of the hepatic artery or both have been performed with postoperative infusion chemotherapy.