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腹腔镜辅助下肝大肿瘤切除术

Laparoscopy-assisted hepatectomy for a large tumor of the liver.

作者信息

Asahara T, Dohi K, Nakahara H, Katayama K, Itamoto T, Sugino K, Moriwaki K, Shiroyama K, Azuma K, Ito K, Shimamoto F

机构信息

Department of Surgery II, Hiroshima University School of Medicine, Japan.

出版信息

Hiroshima J Med Sci. 1998 Dec;47(4):163-6.

PMID:9973743
Abstract

We performed a laparoscopy-assisted hepatectomy on a 52-year-old woman with a large hepatic cavernous hemangioma (longest diameter, 8.5 cm). With the use of Pringle's maneuver, the left lateral segment of the liver was resected with a Cavitron ultrasonic surgical aspirator (CUSA) while lifting the abdominal wall. Postoperative hepatic dysfunction was mild and transient, resolving spontaneously early after surgery. We intend to expand the indications of this minimally invasive procedure for hepatic resection.

摘要

我们对一名患有巨大肝海绵状血管瘤(最长直径8.5厘米)的52岁女性进行了腹腔镜辅助肝切除术。通过使用普林格尔手法,在抬起腹壁的同时,使用超声外科吸引器(CUSA)切除了肝脏左外叶。术后肝功能障碍轻微且短暂,术后早期自发缓解。我们打算扩大这种微创肝切除术的适应症。

相似文献

1
Laparoscopy-assisted hepatectomy for a large tumor of the liver.腹腔镜辅助下肝大肿瘤切除术
Hiroshima J Med Sci. 1998 Dec;47(4):163-6.
2
Hepatic resection for cavernous hemangiomas of the liver.肝海绵状血管瘤的肝切除术
Hiroshima J Med Sci. 1998 Dec;47(4):145-9.
3
Laparoscopic hepatic resection: a new and safe procedure by abdominal wall lifting method.腹腔镜肝切除术:一种通过腹壁提升法的新型安全手术。
Hepatogastroenterology. 1997 Jan-Feb;44(13):143-7.
4
Anatomic resection of segments 5, 6 and 7 of liver for hepatocellular carcinoma: prior control of right paramedian Glisson.肝细胞癌肝段5、6和7的解剖性切除:肝门右旁正中支的预先控制
Hepatogastroenterology. 2008 May-Jun;55(84):1077-80.
5
[Hand-assisted laparoscopic hepatectomy for large liver cancer in 56 cases].[手辅助腹腔镜肝切除术治疗56例大肝癌]
Zhonghua Wai Ke Za Zhi. 2008 Dec 1;46(23):1777-9.
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A case of exophytic hepatic hemangioma mimicking adrenal tumor.一例酷似肾上腺肿瘤的外生性肝血管瘤病例。
Hinyokika Kiyo. 1997 Feb;43(2):123-6.
7
Right hepatectomy using the liver double-hanging maneuver through the retrohepatic avascular tunnel on the right of the inferior vena cava.经下腔静脉右侧肝后无血管隧道采用肝脏双悬吊法行右半肝切除术。
Surgery. 2008 Nov;144(5):830-3. doi: 10.1016/j.surg.2008.08.006. Epub 2008 Sep 26.
8
[Cavernous hemangioma of the liver and hepatic hemangiomatosis. Indications and results of the surgical resection].[肝脏海绵状血管瘤与肝血管瘤病。手术切除的指征及结果]
Rev Gastroenterol Mex. 2003 Oct-Dec;68(4):277-82.
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Giant hemangioma of the liver. An observation from Samoa Islands.肝脏巨大血管瘤。来自萨摩亚群岛的一则病例报告。
Trop Geogr Med. 1992 Jan;44(1-2):69-71.
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Experiences in surgical management of cavernous hemangioma of the liver.肝脏海绵状血管瘤的外科治疗经验
Hepatogastroenterology. 1995 Nov-Dec;42(6):988-92.

引用本文的文献

1
Recent progress in laparoscopic liver resection.腹腔镜肝切除术的最新进展
Clin J Gastroenterol. 2013 Feb;6(1):8-15. doi: 10.1007/s12328-012-0352-z. Epub 2013 Jan 8.
2
Ultrasonic aspiration hepatectomy for 136 patients with hepatocellular carcinoma.136例肝细胞癌患者的超声吸引肝切除术
World J Gastroenterol. 2002 Aug;8(4):763-5. doi: 10.3748/wjg.v8.i4.763.