游离肝后下腔静脉行右肝切除77例体会

摘要

目的 探讨肝后下腔静脉手术游离方法.方法 解剖暴露77例肝后下腔静脉右侧壁并游离其后壁.结果 77例右肝均部分翻转于切口外,术后顺利恢复.结论 切断右肾上腺是游离肝后下腔静脉的关键；暴露肝后下腔静脉右侧壁是充分游离右肝的技术标准之一.%Objective To study the technique in isolating the retrohepatic inferior vena cava in right hepatectomy.Methods Anatomical exposure of the right lateral wall of retrohepatic inferior vena cava was performed,followed by isolating its back wall.Results Part of the right liver was rotated out of the incision.The 77 patients recovered smoothly.Conclusion Dividing the right adrenal is the key to free the retrohepatic inferior vena cava.To expose the right side of the retrohepatic inferior vena cava is a standard technique to mobilize the right liver.