Popescu I, Ciurea S, Braşoveanu V, Pietrăreanu D, Tulbure D, Georgescu S, Stănescu D, Herlea V
Spitalul Clinic Fundeni, Clinica Chirurgicală, Bucureşti.
Chirurgia (Bucur). 1998 Mar-Apr;93(2):87-96.
Five cases of iterative liver resections are presented, out of a total of 150 hepatectomies performed between 1.01.1995-1.01.1998. The resections were carried out for recurrent adenoma (one case), cholangiocarcinoma (two cases), hepatocellular carcinoma (one case), colo-rectal cancer metastasis (one case). Only cases with at least one major hepatic resection were included. Re-resections were more difficult than the primary resection due, first of all, to the modified vascular anatomy. Intraoperative ultrasound permitted localization of intrahepatic recurrences. Iterative liver resection appears to be the best therapeutical choice for patients with recurrent liver tumors.
本文报告了5例再次肝切除术，这5例来自于1995年1月1日至1998年1月1日期间总共实施的150例肝切除术。这些切除术针对复发性腺瘤（1例）、胆管癌（2例）、肝细胞癌（1例）、结直肠癌转移瘤（1例）进行。仅纳入至少接受过一次主要肝切除术的病例。再次切除术比初次切除术更困难，首先是因为血管解剖结构发生了改变。术中超声可对肝内复发灶进行定位。再次肝切除术似乎是肝肿瘤复发患者的最佳治疗选择。
