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目的探讨右上腹部肝门部非肝胆肿瘤的临床特点及术中如何安全显露肝门。方法 2007年6月至2009年10月共25例右上腹非肝胆肿瘤患者接受剖腹探查,术中采用肝脏被膜下入路肿瘤切除,对其术前术中资料整理,分析其临床特点及手术技巧。结果术中采用肝被膜下入路,本组患者肿瘤切除率达88%,平均手术时间88min,术中平均出血量150ml,术后平均KPS80分,围手术期无死亡病例,1年无病生存率67.3%。结论肝脏入路右上腹非肝脏肿瘤切除是一种新的手术思路,具有一定的推广价值。
Objective To investigate the clinical features of non-hepatobiliary tumors in the hilus of the right upper quadrant and how to safely reveal the hilar portal during operation. Methods From June 2007 to October 2009, 25 patients with right upper quadrant non-hepatobiliary tumor underwent laparotomy. The patients underwent subtotal hepatic tumor resection and the preoperative data were analyzed. The clinical features and surgical techniques were analyzed . Results The patients underwent hepatic capsule surgery. The tumor resection rate was 88%, the average operation time was 88 minutes, the mean intraoperative blood loss was 150ml. The average postoperative KPS80 points, no perioperative mortality and 1 year disease-free survival Rate of 67.3%. Conclusion The non-hepatic tumor resection in the right upper quadrant of the liver approach is a new surgical idea, which has certain promotion value.