Wang C, Shao Y
Department of Surgery, Chinese Academy of Medical Science, Beijing.
Zhonghua Zhong Liu Za Zhi. 1995 Sep;17(5):374-6.
From Aug 1984 to Aug 1990, under one-shot normothermic interruption of Porta Hepatis, hepatectomy was performed in 115 patients with primary liver cancer (PLC). The incidence of associated cirrhosis was 82.8% with liver function in Grade A in 59.4% of patients and in Grade B in 40.6% of patients according to Pugh's ranking criteria. Hemihepatic vascular occlusion was preferred. Due precautions were taken to prevent postoperative hepatic failure, including continuous low-pressure oxygen inhalation, the use of antioxidants and dexamethasone. Post-operative complications were: Hydrothorax (7.8%), subphrenic abscess (3.5%), bite leakage and gastrointestineal bleeding (0.9%). There was no operative mortality and hospital mortality.
1984年8月至1990年8月，在常温下一次性阻断肝门的情况下，对115例原发性肝癌（PLC）患者实施了肝切除术。根据普格分级标准，合并肝硬化的发生率为82.8%，其中肝功能A级的患者占59.4%，B级的患者占40.6%。首选半肝血管阻断。采取了适当的预防措施以防止术后肝衰竭，包括持续低流量吸氧、使用抗氧化剂和地塞米松。术后并发症包括：胸腔积液（7.8%）、膈下脓肿（3.5%）、胆瘘和胃肠道出血（0.9%）。无手术死亡和住院死亡病例。
