门静脉阻断结合水刀剥离技术在巨大肝血管瘤手术中的应用

摘要

目的：探讨门静脉阻断结合水刀在肝巨大血管瘤剥离中的可行性和安全性。方法回顾性分析我院2009年1月至2013年12月15例肝巨大血管瘤术中使用门静脉阻断结合水刀行瘤体剥除术，术后观察相关指标的临床资料。结果15例患者均成功完成手术，未出现死亡等并发症，均治愈出院。结论门静脉阻断结合水刀在肝巨大血管瘤切除术中是安全可靠的，降低术中出血的危险。%Objective To explore the surgical modality and safety of ferior vena cava exclusion combinding the waterjet stripping in hepatectomy of giant hepatic hemangiomas .Methods 1 5 patients of giant hepatic he-mangiomas underwent hepatectomy from January 2 0 0 9 to December 2 0 1 3 .Data regarding theintra -operative and postoperative courses of the patients were analyzed .Results A1 l the 1 5 cases were operated on successfully under ferior vena cava exclusion on and off combinding the waterjet stripping .There Was no postoperative mor-tality .all the cases were cured .Conclusions The use of hepatic vein exclusion on and off combinding the water-jet stripping reduces the risk in the resection of giant hepatic hemangiomas .