Takasaki K, Kobayashi S, Tanaka S, Saito A, Yamamoto M, Hanyu F
Institute of Gastroenterology, Tokyo Women's Medical College, Japan.
Int Surg. 1990 Apr-Jun;75(2):73-7.
We have developed a new method of hepatic resection, in which the cancer-bearing Glissonean code (G-code) branches are served using a hilar approach for an anatomically systematized resection. Since the hepatic artery, portal vein and bile duct are surrounded by connective tissue, the portal triad can be treated as a fibroid code both outside and inside the liver. Compared to the ramification pattern of the hepatic artery, portal vein and bile duct, that of the G-code is simpler. In all our surgical procedures of hepatic resections, the cancer bearing G-code branch is selectively cut using a hilar approach before the dissection of the parenchyma of the liver. We have experienced 168 cases of several types of hepatic resection for hepatocellular carcinoma. Only in three cases was it impossible to accomplish the transection of some third branches using a hilar approach.
我们已经开发出一种新的肝切除方法，即采用肝门入路对携带肿瘤的Glissonean编码（G编码）分支进行解剖学系统化切除。由于肝动脉、门静脉和胆管被结缔组织包绕，肝门三联在肝内外均可视为纤维样编码。与肝动脉、门静脉和胆管的分支模式相比，G编码的分支模式更为简单。在我们所有的肝切除手术中，在肝实质解剖之前，均采用肝门入路选择性切断携带肿瘤的G编码分支。我们已经对168例肝细胞癌进行了多种类型的肝切除手术。只有3例无法通过肝门入路完成某些三级分支的横断。
