Idema A A, Tjiong H S, Oldhoff J
J Surg Oncol. 1980;13(3):197-205. doi: 10.1002/jso.2930130303.
Dearterialization of the liver causes necrosis of primary liver tumors or metastases, because their blood supply is largely arterial. The normal liver tissue remains vital after a period of ischemia if the portal vein is intact. A patient with a carcinoid syndrome due to liver metastases is described. It was found that it is difficult to achieve complete dearterialization of the liver. Rather, preoperative and particularly peroperative angiograms are required to ensure the best possible degree of dearterialization.
肝脏去动脉化会导致原发性肝癌或转移瘤坏死，因为它们的血液供应主要是动脉性的。如果门静脉完整，正常肝组织在一段缺血期后仍能维持生机。本文描述了一名因肝转移而患有类癌综合征的患者。研究发现，实现肝脏完全去动脉化很困难。相反，需要术前尤其是术中血管造影来确保尽可能达到最佳的去动脉化程度。
