Delhorme Jean-Baptiste, Méméo Riccardo, Marescaux Jacques, Pessaux Patrick
Jean-Baptiste Delhorme, Riccardo Méméo, Jacques Marescaux, Patrick Pessaux, Institut Hospitalo-Universitaire de Strasbourg, Nouvel Hopital Civil, Hôpitaux Universitaire de Strasbourg, 67091 Strasbourg, France.
World J Gastrointest Pharmacol Ther. 2015 Nov 6;6(4):253-6. doi: 10.4292/wjgpt.v6.i4.253.
A 53-year-old woman underwent a 2-stage right hepatectomy for bilobar metastasis of an ileal neuroendocrine carcinoma. Preoperative three-dimensional computed tomography reconstruction helped to diagnose an intrahepatic venovenous shunts from the right and middle hepatic veins to the left hepatic vein, which could cause a intraoperative bleeding. Hemostasis was performed by means of precoagulation with microwave-assisted coagulation.
一名53岁女性因回肠神经内分泌癌双叶转移接受了两期右肝切除术。术前三维计算机断层扫描重建有助于诊断从右肝静脉和肝中静脉到左肝静脉的肝内静脉分流,这可能导致术中出血。通过微波辅助凝血预凝进行止血。