Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins.
Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins.
复制标题
改良正中肝裂入路切除位于中肝静脉根部与右肝静脉根部夹角处的肝脏肿瘤。
DOI：
10.1186/s12893-021-01412-y
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发表时间：
2021-12-03
期刊：
影响因子：
1.9
通讯作者：
Shao J
中科院分区：
文献类型：
--
作者：
Lu H;Wu L;Yuan R;Liao W;Lei J;Shao J
位于肝中静脉与肝右静脉根部夹角之间的肝肿瘤是一种特殊类型的肝Ⅷ段肿瘤。在本研究中，我们设计了一种改良的肝正中裂入路来切除这些肿瘤，并对该入路的安全性和有效性进行了评估。
2015年4月至2019年11月，11例位于肝中静脉与肝右静脉夹角之间的肝肿瘤患者接受了这种改良的肝正中裂入路手术。我们回顾性分析了这11例患者围手术期的数据，包括一般情况、手术时间、术中出血量以及术后并发症等，并对无病生存期和总生存期进行了评估。
11例患者中，9例为原发性肝细胞癌，2例为结直肠肝转移癌。平均术中出血量为285 mL（150 - 450 mL）。2例患者出现术后胆漏，但所有患者均未出现如腹腔内出血和肝衰竭等严重并发症。肝功能在术后第5天恢复到正常范围。11例患者中，5例生存期超过3年（45.5%），4例无病生存期超过3年（36.3%）。
对于位于肝中静脉与肝右静脉根部夹角之间的肝肿瘤，改良的肝正中裂入路是一种安全可行的方法。
Liver tumours between the root angle of the middle and right hepatic veins are a special type of liver segment VIII tumour. In this study, we designed a modified median hepatic fissure approach to remove these tumours. The safety and effectiveness of the approach were evaluated. From April 2015 to November 2019, 11 patients with liver tumours between the angle of the middle and right hepatic veins underwent this modified median hepatic fissure approach. We retrospectively analysed data from the perioperative periods of these 11 patients, including general condition, operation time, intraoperative bleeding, and postoperative complications. Disease-free survival and overall survival were assessed. Of the 11 patients, 9 patients had primary hepatocellular carcinoma and 2 had colorectal liver metastases. The average intraoperative blood loss was 285 mL (150–450 mL). Two patients developed postoperative bile leakage, but there were no significant serious complications, such as intraabdominal bleeding and liver failure, in any of the patients. The liver function returned to the normal range on the 5th day after surgery. Of the 11 patients, 5 have survived for more than 3 years (45.5%), and 4 have been disease-free for more than 3 years (36.3%). For liver tumours between the root angle of the middle and right hepatic veins, the modified median hepatic fissure approach is a safe and feasible method.
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2.4
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