保留肝段VI的右肝切除术：7例初步经验
Right hepatectomy with preservation of segment VI: Seven cases of preliminary experience.
作者信息
Lu Shounan, Su Zhilei, Yang Zongrui, Tai Sheng
机构信息
Department of Minimally Invasive Hepatic Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China.
出版信息
ILIVER. 2022 Apr 15;1(2):122-126. doi: 10.1016/j.iliver.2022.04.003. eCollection 2022 Jun.
BACKGROUND
Surgical treatment of tumors near the center of the liver is challenging. Right hemihepatic or triple resection is considered the preferred approach, but it is associated with a high mortality rate due to postoperative liver failure. Therefore, attempts should be made to preserve liver parenchyma to the maximum extent possible. Segment VI of the liver is often excised "innocently". This article aims to discuss the experience of the right hemihepatectomy with the segment VI preserved.
CASE PRESENTATION
The clinical medical records of 7 patients with right lobe liver cancer who underwent right hemihepatectomy with segment VI preservation during 2015-2021 were collected to selectively reconstruct the right hepatic vein to ensure liver blood return at segment VI.
CONCLUSIONS
Right hemihepatectomy with segment VI preservation can preserve more liver parenchyma and is a safe and reliable surgical method for patients who need to preserve more liver parenchyma.
背景
肝脏中心附近肿瘤的手术治疗具有挑战性。右半肝切除术或三联肝切除术被认为是首选方法，但由于术后肝衰竭，其死亡率较高。因此，应尽可能最大程度地保留肝实质。肝段VI常被“无辜”切除。本文旨在探讨保留肝段VI的右半肝切除术的经验。
病例介绍
收集了2015年至2021年期间7例行保留肝段VI的右半肝切除术的右叶肝癌患者的临床病历，以选择性重建右肝静脉，确保肝段VI的肝脏血液回流。
结论
保留肝段VI的右半肝切除术可保留更多肝实质，对于需要保留更多肝实质的患者是一种安全可靠的手术方法。
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