Bara T, Bancu S, Gyorgy-Fazahas I, Muresan M, Bara T, Podeanu D, Muresan S
Surgical Clinic No.2, Tg. Mures, Mures County, Romania.
Hepatogastroenterology. 2008 Jul-Aug;55(85):1370-2.
AIMS/BACKGROUND: Hepatic resection is the only treatment with possible curative effect both for primary and secondary tumors. An increase of the rate of resectability for tumors considered inoperable at first and a decrease of the postoperative morbidity and mortality can be realized by right portal branch ligature and two-step hepatectomy.
This paper presents the case of a patient with left bowel cancer with a hepatic metastasis. A right portal branch ligature was performed followed by systemic postoperative chemotherapy.
The right portal branch occlusion was followed by right lobe atrophy and left lobe hypertrophy, confirmed by CT scan. Three months after the portal occlusion a right lobe hepatectomy was performed. The postoperative evolution was favorable; eight days of hospitalization were necessary.
Portal branch ligature can be performed in certain cases of hepatic tumors to increase the resectability rate.
目的/背景：肝切除术是对原发性和继发性肿瘤唯一可能具有治愈效果的治疗方法。通过右门静脉分支结扎和两步肝切除术，可以提高最初被认为无法手术切除的肿瘤的可切除率，并降低术后发病率和死亡率。
本文介绍了一名患有左肠癌并伴有肝转移患者的病例。先进行了右门静脉分支结扎，随后进行全身术后化疗。
CT扫描证实，右门静脉分支闭塞后出现右叶萎缩和左叶肥大。门静脉闭塞三个月后进行了右叶肝切除术。术后病情进展良好；住院八天。
在某些肝肿瘤病例中，可以进行门静脉分支结扎以提高可切除率。
