Dagradi A, Mangiante G, Marchiori L, Mainente M, Benati G, Musajo F G, Asnicar A, Costa V, Nicoli N
Istituto di Clinica Chirurgica, Università di Verona.
Chir Ital. 1990 Jun-Aug;42(3-4):87-94.
The development of major hepatic resective surgery during the last 50 years is due to a better knowledge of both hepatic regenerative capacity and intraparenchymal vascular and biliary anatomy. Two approaches of major hepatic resection have been described: 1) primary hilar approach; 2) primary transparenchymal approach. The authors review the indications of major hepatic resections in the treatment of hepatic tumors and discuss the advantages and the disadvantages of primary hilar and primary transparenchymal approaches, reviewing the data from the literature and the experience gained at the Clinica Chirurgica of the University of Verona from 1970 to 1989 of 289 major hepatic resections.
过去50年中，肝脏大切除术的发展得益于对肝脏再生能力以及肝实质内血管和胆管解剖结构的更深入了解。肝脏大切除术有两种入路方式：1）肝门入路；2）肝实质入路。作者回顾了肝脏大切除术在肝肿瘤治疗中的适应证，并讨论了肝门入路和肝实质入路的优缺点，同时回顾了文献数据以及1970年至1989年在维罗纳大学外科临床中心进行289例肝脏大切除术所积累的经验。
