常温下肝门阻断肝切除术治疗肝癌(附86例报告)

摘要

Objective To introduce operative skill of liver resection by blocking hilum of liver under normal temperature.Method Retrospective analysis of experience treating 86 cases of liver cancer with the operation.Result Among 86 cases of hepatic malignant tumor,there were not serious complications such as death,massive haemorrhage etc.during operation;postoperative liver failure occurred in 7 cases,among them,cure 5 cases and 2 cases of death.The incision infection occurred in 5 patients;The thorax dropsy occurred in 19 cases, which was absorbed by oneself after treating in 14 cases,cured by puncture occurred in 5 cases.Conclusion Operative skill of blocking hilum of liver under normal temperature is more ideal means in treating the liver cancer.%目的介绍常温下阻断肝门切肝治疗肝癌的手术技巧.方法回顾性分析用常温下切肝法治疗86例肝癌患者的经验体会.结果本组86例患者,术中均未出现诸如死亡、大出血等严重并发症.术后7例发生肝功能衰竭,其中5例治愈,2例死亡;5例切口感染;胸腔积液19例,14例经保守治疗自行吸收愈合,5例通过胸腔穿刺治愈.结论常温下肝门阻断肝切除术是治疗肝癌较为理想的手术方式.