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肝切除术中整块钉合膈肌切除术治疗局部侵犯：一种不打开胸腔的简单技术。

En bloc stapled diaphragmatic resection for local invasion during hepatectomy: a simple technique without opening the pleural cavity.

作者信息

Karoui Mehdi, Tayar Claude, Laurent Alexis, Cherqui Daniel

机构信息

AP-HP, Department of Surgery, Henri Mondor University Hospital, 51, av du Maréchal de Lattre-de-Tassigny, 94010 Créteil Cedex, France.

出版信息

Am J Surg. 2007 Jun;193(6):786-8. doi: 10.1016/j.amjsurg.2006.08.084.

DOI:10.1016/j.amjsurg.2006.08.084
PMID:17512297
Abstract

Diaphragmatic invasion is not uncommon in patients undergoing hepatectomy for liver tumors. Where there are limited attachments of the diaphragm to the tumor, the authors describe a stapled technique for en bloc resection of the diaphragm without opening the chest cavity, thus performing an oncologic resection, while avoiding the need for pleural drainage.

摘要

在接受肝肿瘤肝切除术的患者中，膈肌侵犯并不少见。当膈肌与肿瘤的附着有限时，作者描述了一种在不打开胸腔的情况下整块切除膈肌的吻合器技术，从而在避免胸腔引流的同时进行肿瘤切除。

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En bloc stapled diaphragmatic resection for local invasion during hepatectomy: a simple technique without opening the pleural cavity.肝切除术中整块钉合膈肌切除术治疗局部侵犯：一种不打开胸腔的简单技术。
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引用本文的文献

1
Laparoscopic liver resection with simultaneous diaphragm resection.腹腔镜肝切除术联合膈肌切除术
Ann Transl Med. 2020 Mar;8(5):214. doi: 10.21037/atm.2020.01.62.
2
Pathological diaphragmatic invasion by colorectal liver metastases is associated with RAS mutation, peritoneal recurrence and worse survival.结直肠癌肝转移灶的病理性膈肌侵犯与RAS突变、腹膜复发及较差的生存率相关。
HPB (Oxford). 2018 Jan;20(1):57-63. doi: 10.1016/j.hpb.2017.08.020. Epub 2017 Sep 22.
3
Should diaphragmatic involvement preclude resection of large hepatic tumors?
膈肌受累是否应排除大肝肿瘤的切除术？
World J Surg. 2013 Sep;37(9):2197-201. doi: 10.1007/s00268-013-2083-9.