Hasegawa H, Yamazaki S, Makuuchi M, Le Thai B
Département de Chirurgie Hépatique, National Cancer Center Hospital, Tokyo, Japan.
J Chir (Paris). 1988 Oct;125(10):593-6.
A new technique of hepatectomy is described, using intra operative ultrasound and dental cleaner needle. The needle is inserted in the liver under ultrasonographic guidance, in order to mark the vessel which feed the tumor. Then the trans-section of the liver begins near the needle and the contact of its hip allows an elective ligation of the vessel. Thus the hepatectomy is performed safely along the ischaemic line of the subsegment bearing the tumor. The needle have been also used to mark the adjacent segmental portal vein and the hepatic vein which have to be secured during the operation. We have done 12 hepatectomies in cirrhotic patients with this technic without any complication.
本文描述了一种新的肝切除术技术，该技术使用术中超声和洁牙器针头。在超声引导下将针头插入肝脏，以标记为肿瘤供血的血管。然后从靠近针头处开始进行肝脏横切，其尖端的接触有助于选择性结扎血管。这样，肝切除术就能沿着承载肿瘤的亚段缺血线安全进行。该针头还被用于标记术中必须妥善处理的相邻门静脉分支和肝静脉。我们使用这种技术为12例肝硬化患者实施了肝切除术，未出现任何并发症。
