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肝硬化和肝细胞癌患者的肝VIII段(右叶前上亚段)手术切除

Surgical resection of segment VIII (anterosuperior subsegment of the right lobe) in patients with liver cirrhosis and hepatocellular carcinoma.

作者信息

Franco D, Bonnet P, Smadja C, Grange D

出版信息

Surgery. 1985 Nov;98(5):949-54.

PMID:2997945
Abstract

A limited liver resection was performed in two patients with cirrhosis and a hepatocellular carcinoma situated in segment VIII (anterosuperior subsegment of the right lobe). One of the patient had previously bled from esophageal varices. Resection of segment VIII was performed following the anatomical planes of section after complete mobilization of the right lobe of the liver. Both patients were alive and free of recurrence 14 and 30 months after surgery. Hepatocellular carcinomas are thus treatable by limited anatomic liver resection even when they are situated in the vicinity of the major hepatic veins and the vena cava.

摘要

对两名患有肝硬化且肝细胞癌位于肝VIII段(右叶前上亚段)的患者进行了局限性肝切除术。其中一名患者既往有食管静脉曲张出血史。在完全游离肝右叶后,按照解剖平面进行肝VIII段切除术。两名患者在术后14个月和30个月均存活且无复发。因此,即使肝细胞癌位于主要肝静脉和腔静脉附近,也可通过局限性解剖性肝切除术进行治疗。

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