Giordano G, Margari A, Scattarella M, Mustacchio N, Cannone G, Brescia V, Petrarota N, Granier M, Minardi M, Ialongo P
Istituto Policattedra di Chirurgia d'Urgenza e Chirurgia Plastica, Università degli Studi di Bari.
G Chir. 1994 Jun-Jul;15(6-7):284-8.
Based on their personal experience in hepatic resective surgery the authors dwell upon details of surgical technique which, well combined and sustained by advanced technological supports (ultrasonic dissector, laser-argon clotter, intraoperative echography), allow to perform wide parenchymal resections sheltered from dangerous complications. The safety achieved in such a surgery--now routinely performed--derives not only from improved diagnostic techniques (US, CT, MNR, angiography) and advances in anaesthesia-reanimation but, above all, from precise knowledge of organon segmental anatomy and close vascular correlations between the two hepatic hemisystems.
基于他们在肝脏切除手术中的个人经验,作者详述了手术技术细节,这些细节在先进技术支持(超声解剖器、激光氩气凝血器、术中超声检查)的良好配合与支撑下,能够进行广泛的实质切除术,避免危险并发症的发生。这种如今常规开展的手术所实现的安全性,不仅源于改进的诊断技术(超声、CT、磁共振成像、血管造影)以及麻醉复苏方面的进展,更重要的是,源于对肝脏段性解剖的精确了解以及两个肝半系统之间紧密的血管关联。