Aliev M A, Sultanaliev T A, Seĭsembaev M A, Aliev R M, Dzhorobekov A D, Rysbekov M M
Khirurgiia (Mosk). 1999(5):11-4.
36 resections of the liver were carried out. 66.7% of them were hemihepatectomies and extended hemihepatectomies due to sever parasitic lesions of the liver parenchyma. During resections of the liver ultrasonic scalpel and high frequency electrocoagulation, compression of the hepatoduodenal ligament under the control of the intraoperative sonography were performed. In 4 patients (11.1%) complications were observed: hepatic insufficiency (2 cases), injury of inferior vena cava (1 case) and infrahepatic abscess (1 case). Lethality made up 3.8% (1 patient died due to development of acute hepatic insufficiency after extended right-sided hemihepatectomy.
共进行了36例肝脏切除术。其中66.7%为半肝切除术和扩大半肝切除术,原因是肝实质存在严重寄生虫病变。肝脏切除术中使用了超声刀和高频电凝,并在术中超声引导下对肝十二指肠韧带进行了压迫。4例患者(11.1%)出现并发症:肝功能不全(2例)、下腔静脉损伤(1例)和肝下脓肿(1例)。死亡率为3.8%(1例患者在扩大右半肝切除术后因急性肝功能不全死亡)。