Wilhelm Lutz, Albrecht Lothar, Kirsch Michael, Heidecke Claus Dieter
Department of Surgery, Ernst Moritz Arndt University, Greifswald, Germany.
Surg Laparosc Endosc Percutan Tech. 2006 Jun;16(3):177-81. doi: 10.1097/00129689-200606000-00014.
A focal nodular hyperplasia (FNH) rarely requires surgical intervention unless complications or clinical symptoms come into play. In 2 female patients, ages 35 and 44, with symptomatic tumors of that entity (10 and 14 cm, respectively, in size) we performed a laparoscopic liver resection. Directly before undergoing this operation they underwent a selective angiographic embolization of the arterial inflow for control of hemorrhage by application of polyvinyl alcohol particles to the afferent arteries. This procedure led to a complete interruption in arterial inflow and the subsequent laparoscopic resection itself could be carried out as planned with minimal blood loss as well an uncomplicated postoperative course. The patients demonstrated a high degree of subjective satisfaction with the procedure. A reduction in arterial inflow through selective embolization is a useful tool in the preparation for laparoscopic resection of large, well-vascularized liver tumors.
局灶性结节性增生（FNH）很少需要手术干预，除非出现并发症或临床症状。在两名分别为35岁和44岁的女性患者中，她们患有该疾病的有症状肿瘤（大小分别为10厘米和14厘米），我们对其进行了腹腔镜肝切除术。在进行该手术之前，她们接受了选择性动脉造影栓塞术，通过向输入动脉应用聚乙烯醇颗粒来控制出血。该操作导致动脉血流完全中断，随后的腹腔镜切除术能够按计划进行，出血量极少，术后过程也无并发症。患者对该手术表现出高度的主观满意度。通过选择性栓塞减少动脉血流是准备腹腔镜切除大型、血管丰富的肝肿瘤的一种有用方法。
