Dudunkov Z, Karanov S, Penchev R, Vartanianov L, Lukanov Ts
Khirurgiia (Sofiia). 1998;51(1):5-7.
Proceeding from experience with a large number of liver resections performed for single or multiple metastases atypical in appearance, including left lobectomies, a description is presented of wide right-sided hemihepatectomy, done for the first time (13 May 1997) in the surgical clinic of the National Oncological Center. The intervention is undertaken because of two metastases in the liver subsequent to radical operation for carcinoma of the sigmoid colon. The single stages of the operation are likewise described. The effectiveness of application of Penchev's "Parenchymatome" (made in Bulgaria--Military Medical Academy) and "Tisomat" apparatus is evaluated. Using the latter the resection liver surface is sprayed with a bicomponent fibrin adhesive "Tisucol", obtained from the firm Immuno-AG.
基于对大量因外观不典型的单个或多个转移灶而进行肝切除术（包括左半肝切除术）的经验，本文介绍了1997年5月13日在国家肿瘤中心外科首次实施的右侧扩大半肝切除术。该手术是因乙状结肠癌根治术后肝脏出现两个转移灶而进行的。文中同样描述了手术的各个阶段。评估了保加利亚军事医学院制造的Penchev氏“实质切开器”和“Tisomat”设备的应用效果。使用后者时，切除的肝脏表面喷洒了从Immuno-AG公司获得的双组分纤维蛋白粘合剂“Tisucol”。
