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一种简化的肝切除技术:挤压法。

A simplified technique for hepatic resection: the crush method.

作者信息

Lin T Y

出版信息

Ann Surg. 1974 Sep;180(3):285-90. doi: 10.1097/00000658-197409000-00005.

DOI:10.1097/00000658-197409000-00005
PMID:4368356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1343660/
Abstract

A new technique of hepatic lobectomy with combined use of hepatic clamp and liver crush clamp is described. It is a simplification of the original finger fracture technique by using instruments instead of fingers for hepatic resection. It provides the unexperienced with a technique of hepatic resection done in the shortest possible time and in an almost bloodless field with safety. Since February 1973 the author has performed 5 hepatic resections with this crush method for primary liver cell carcinoma. The blood transfusion averaged 200 ml and the operation time averaged 1.5 hours. No complication or mortality was encountered and the patients were invariably discharged within 14 days after the operation.

摘要

本文描述了一种联合使用肝夹和肝压榨钳的肝叶切除术新技术。它是对原始手指断肝技术的简化,通过使用器械而非手指进行肝切除。它为经验不足者提供了一种能在尽可能短的时间内、在几乎无血的视野下安全完成肝切除的技术。自1973年2月以来,作者已用这种压榨法对原发性肝细胞癌进行了5例肝切除术。平均输血量为200毫升,平均手术时间为1.5小时。未出现并发症或死亡情况,患者均在术后14天内出院。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/247d/1343660/62800e3c94db/annsurg00295-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/247d/1343660/0493693dc062/annsurg00295-0039-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/247d/1343660/755880756625/annsurg00295-0039-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/247d/1343660/1cb1345b2e7c/annsurg00295-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/247d/1343660/f3a6ffece605/annsurg00295-0040-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/247d/1343660/13236862f766/annsurg00295-0041-a.jpg
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本文引用的文献

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Total right hepatic lobectomy for primary hepatoma.原发性肝癌的右半肝切除术
Surgery. 1960 Dec;48:1048-60.
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History of liver surgery.
肝脏手术史。
Clin Liver Dis (Hoboken). 2024 Jun 25;23(1):e0237. doi: 10.1097/CLD.0000000000000237. eCollection 2024 Jan-Jun.
4
Protocol of a randomised controlled phase II clinical trial investigating PREoperative endoscopic injection of BOTulinum toxin into the sphincter of Oddi to reduce bile leakage after hepatic resection: the PREBOT-II trial.一项随机对照 II 期临床试验的方案,研究 PREoperative 内镜下 Oddi 括约肌注射肉毒毒素以减少肝切除术后胆汁漏:PREBOT-II 试验。
BMJ Open. 2023 Sep 20;13(9):e065727. doi: 10.1136/bmjopen-2022-065727.
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Progress in hepatectomy for hepatocellular carcinoma and peri-operation management.肝细胞癌肝切除术及围手术期管理的进展
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