Emergency Surgery Department, University Lille, CHU, 59000 Lille, France.
Department of Digestive Surgery and Transplants, University Lille, CHU, 59037 Lille, France.
J Visc Surg. 2022 Jun;159(3):260-263. doi: 10.1016/j.jviscsurg.2021.10.007. Epub 2021 Nov 10.
The hepatic compartment syndrome (HCS) corresponds to compression of the intraparenchymal liver tissue (intrahepatic pressure greater than the portal vein pressure, i.e. >10-15mmHg) caused by a subcapsular or intraparenchymal hematoma of the liver. It can lead to reversal of portal flow and hepatic parenchymal necrosis. We report the case of a patient who underwent a right radical nephrectomy by laparoscopy and who presented with HCS due to a subcapsular hematoma of the liver. Emergency decompression of the liver via laparotomy was performed, which allowed rapid clinical and laboratory improvement.
肝间隔室综合征（HCS）是指肝脏被膜下或肝实质内血肿导致肝实质组织受压（肝内压大于门静脉压，即＞10-15mmHg）。它可导致门脉血流逆转和肝实质坏死。我们报告了一例腹腔镜右肾癌根治术后因肝被膜下血肿而发生 HCS 的患者。行紧急开腹肝减压术，患者的临床和实验室指标迅速改善。
