Beppu M, Fukuzaki T, Mitani K, Fujimoto K, Taniguchi S
Department of Surgery, Nishinomiya Prefectural Hospital, Japan.
Arch Surg. 1990 Sep;125(9):1170-5. doi: 10.1001/archsurg.1990.01410210096015.
There is no clinical disorder in partial Budd-Chiari syndrome or in a major hepatic vein ligation in hepatic trauma. When considering these findings, it is significant to investigate hepatic subsegmentectomies in which a major hepatic vein is sacrificed. We performed such hepatic subsegmentectomies in nine cases of hepatocellular carcinoma. With the sacrifice of the right hepatic vein, S7, S8 resection was done in three patients, S7 resection in two patients, S8 resection in one patient, and S5 resection in one patient. With the sacrifice of the middle hepatic vein, S8 resection was done in two patients. These resections were successfully performed with no postoperative problem. Further, there were no significant differences in postoperative liver function tests of the patients from those of a control group of the commonly performed systematic segmentectomy and subsegmentectomy. By performing such resections, resection was made possible in three cases and curative resection was made feasible in six cases.
在部分布加综合征或肝外伤中主要肝静脉结扎时，并无临床病症。考虑到这些发现，研究牺牲主要肝静脉的肝亚段切除术具有重要意义。我们对9例肝细胞癌患者进行了此类肝亚段切除术。牺牲右肝静脉后，3例患者进行了S7、S8切除，2例患者进行了S7切除，1例患者进行了S8切除，1例患者进行了S5切除。牺牲肝中静脉后，2例患者进行了S8切除。这些切除手术均成功完成，术后无问题。此外，这些患者术后肝功能检查结果与常规进行的系统性肝段切除术和亚段切除术对照组患者相比，无显著差异。通过进行此类切除手术，3例患者得以进行切除，6例患者得以进行根治性切除。
