Tsuchida Y, Hashimoto H, Iwanaka T, Honna T
Department of Surgery, National Children's Hospital, Tokyo, Japan.
J Pediatr Surg. 1989 Nov;24(11):1167-8. doi: 10.1016/s0022-3468(89)80109-5.
A 10-month-old boy was noted to have hepatomegaly, and hepatic angiography showed a huge tumor of the medial segment of the left lobe, located close to the hepatic hilum and involving the anterior segment of the right lobe in contiguity. We considered at first that resection would not be possible, but at operation the anterior segmental branch of the right hepatic artery was successfully ligated and divided, which made left trisegmentectomy possible in this case. Postoperatively, the patient was treated with cisplatin and tetrahydropyranyl Adriamycin he was doing well without any evidence of disease 24 months after the hepatectomy.
一名10个月大的男童被发现肝脏肿大,肝脏血管造影显示左叶内侧段有一个巨大肿瘤,靠近肝门,且与右叶前段相连。起初我们认为无法进行切除,但在手术中成功结扎并切断了右肝动脉的前段分支,这使得该病例能够进行左三叶切除术。术后,患者接受了顺铂和四氢吡喃阿霉素治疗,肝切除术后24个月,他情况良好,没有任何疾病迹象。