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本文报告采用全肝血管阻断(TVE)隔离流入和流出肝脏血流的方法对恶性肝肿瘤施行切除的经验.评估TVE对无肝硬变病人肝切除后肝功能的影响.本组有47例非肝硬变病人因肝恶性肿瘤在TVE下施行56例次肝切除.男性病人19例,女性28例,平均56岁.其中手术为结直肠癌肝转移25例次,肝细胞癌11例,胆囊癌5例,胆管癌7例,转移性APUD瘤3例,肉瘤及来自卵巢、食道、胃和胰腺的转移性病变各1例.肝切除类型:右半肝切除(11),扩大的右半肝切除(11),左半肝切除(11),各种Couinaud肝段切除(18),非解剖性肝切除(5).6例病人施行了反复肝切除,其中有1例病人经历了4次肝切除,另二次切除是因结直肠癌转移.术前检查包括全血计数、血清尿素,
This article reports the use of total hepatic vascular occlusion (TVE) to isolate inflow and outflow liver blood flow to perform resection of malignant liver tumors. To evaluate the effect of TVE on liver function after liver resection in patients without cirrhosis. 47 patients in this group In non-cirrhotic patients, 56 cases of hepatectomy were performed under the TVE for malignant liver tumors. There were 19 male patients and 28 female patients, with an average age of 56 years. Of these, 25 were treated for colorectal liver metastases, and 11 were hepatocellular carcinoma. 5 gallbladder cancers, 7 cholangiocarcinomas, 3 metastatic APUD tumors, 1 sarcoma, and 1 metastatic lesion from the ovary, esophagus, stomach and pancreas. Type of hepatectomy: right hepatectomy (11), enlarged right Hepatectomy (11), left hepatectomy (11), various Couinaud hepatectomy (18), non-anatomical hepatectomy (5). Six patients underwent repeated hepatectomy, and one patient experienced 4 hepatectomy, another secondary resection was due to colorectal cancer metastasis. Preoperative examination included whole blood count, serum urea,