Ezaki T, Seo Y, Tomoda H, Furusawa M, Kanematsu T, Sugimachi K
Department of Gastroenterological Surgery, National Kyushu Cancer Center, Fukuoka, Japan.
Br J Surg. 1992 Mar;79(3):224-6. doi: 10.1002/bjs.1800790311.
A partial hepatic resection was performed in 13 patients with chronic liver disease using intermittent hepatic inflow occlusion. Eleven patients had liver cirrhosis and two had chronic hepatitis. Seven patients were classified as Child's grade A and six as Child's grade B before operation. Dissection of the hepatic parenchyma was performed during intermittent inflow occlusion. The time of clamping and declamping was 10-20 min and 5-8 min, respectively. Postoperative data on liver function showed recovery to preoperative levels by about 10 days after operation. There were no life-threatening complications. These results indicate that intermittent hepatic inflow occlusion can be achieved easily and safely to allow non-anatomical resection in patients with chronic liver disease.
对13例慢性肝病患者采用间歇性肝血流阻断术进行了部分肝切除术。11例患者患有肝硬化，2例患有慢性肝炎。7例患者术前被归类为Child A级，6例为Child B级。在间歇性血流阻断期间进行肝实质的解剖。阻断和松开的时间分别为10 - 20分钟和5 - 8分钟。术后肝功能数据显示，术后约10天恢复到术前水平。没有危及生命的并发症。这些结果表明，间歇性肝血流阻断术可以轻松、安全地实现，从而允许对慢性肝病患者进行非解剖性切除。
