Ding Y T
Gulou Hospital, Nanjing.
Zhonghua Zhong Liu Za Zhi. 1988 Sep;10(5):392-4.
Experience of normothermic total hepatic vascular exclusion for hepatectomy in two patients with hepatocarcinoma in the second porta hepatis area are reported. The combined method of stepwise exclusion of porta hepatis, total hepatic vascular exclusion, total hepatic vascular exclusion without abdominal aorta and manipulative exclusion of inferior vena cava above liver are described. Biochemical studies before, during and after the operation showed that they are similar to these of routine hepatectomy. This modification, being safer and easier, may increase the resectability and reduce the mortality rate.
报告了两例肝门二区肝癌患者常温下全肝血流阻断肝切除术的经验。描述了逐步阻断肝门、全肝血流阻断、不阻断腹主动脉的全肝血流阻断以及在肝脏上方手法阻断下腔静脉的联合方法。手术前、手术中和手术后的生化研究表明，这些与常规肝切除术相似。这种改良方法更安全、更容易，可能会提高切除率并降低死亡率。
