肝尾叶切除术五例报告

摘要

Objective　To summarize the experiences in caudate lobectomy in five cases of hepatic carcinoma.Methods　Five cases of primary liver caudate lobe cancer resected in the last five years were reviewed.Some problems including anatomy,the biological characteristics of the caudate lobe cancer,surgical approach,blocking of the liver blood supply were discussed.Results　One case died on the 11th postoperative day,the other four cases have been followed up for five years,two years and nine months,two years,one year and six months,respectively.They are all survived.Conclusion　Liver cancer located at the caudate lobe can be successfully resected as those located in other regions with a clear anatomy and a full exposure.%目的总结肝尾叶癌切除经验，提高肝癌治疗效果。方法回顾性总结5例肝尾叶癌切除术，从解剖、肝尾叶癌的生物学特性、术式、手术入路、肝门阻断等诸方面进行讨论。结果手术死亡1例，其余4例已分别随访5年、2年9个月、2年和1年半，均存活。结论肝尾叶切除已非外科“禁区”，清晰的解剖及充分的显露是关键。