Tsuzuki T, Ogata Y, Iida S, Kasajima M, Takahashi S
Surgery. 1979 May;85(5):593-8.
A 51-year-old man underwent extended right lobectomy for hepatoma of the right lobe with obstructive jaundice due to migration of the tumor mass in the common and bilateral hepatic ducts. Severe jaundice amounting to 32.6 mg% and suppurative cholangitis were relieved by drainage through the cannulation into the hepatic ducts of the bilateral lobes. Although hepatoma was combined with liver cirrhosis, the patient could tolerate extended right lobectomy. The patient is doing relatively well without jaundice 2 years after operation, but a recurrent tumor appeared on the celiac angiogram taken 1 year and 6 months following operation. This is the fourth report on hepatic resection of such cases, and difficult problems involved with that procedure are presented and discussed.
一名51岁男性因右叶肝癌伴肿瘤块移至肝总管及双侧肝管导致梗阻性黄疸，接受了扩大右叶切除术。通过双侧肝叶肝管置管引流，缓解了高达32.6mg%的严重黄疸及化脓性胆管炎。尽管肝癌合并肝硬化，但患者能够耐受扩大右叶切除术。术后2年患者情况相对良好，无黄疸，但术后1年6个月的腹腔血管造影显示出现了复发性肿瘤。这是此类病例肝切除的第四篇报告，并提出和讨论了该手术所涉及的难题。
