论文部分内容阅读
原发性肝癌(以下称肝癌)切除术中肝脏血流的控制一直被视为手术成功的关键。但是,控制血流后肝细胞的继发性损伤,给术后病人的治疗和康复造成很大困难。尤其是合并肝硬化的病人,可能导致肝功能衰竭。1992年1月～1995年1月作者根据硬化的肝脏血流明显减少和切肝过程中管道可以明视、钳夹的特点,对35例肝硬化较重的肝癌病人,经过术前充分准备,不阻断肝脏血流顺利进行了根治性切除。术后观察指标表明明显优于对照组,收到了良好效果,报告如下。
The control of hepatic blood flow during the resection of primary liver cancer (hereinafter referred to as liver cancer) has been considered as the key to successful operation. However, the secondary injury of liver cells after controlling the blood flow causes great difficulties for the treatment and rehabilitation of postoperative patients. Especially patients with cirrhosis may cause liver failure. From January 1992 to January 1995, according to the characteristics of hardened hepatic blood flow and the fact that the pipeline can be seen and clamped in the process of cutting the liver, 35 cases of liver cancer patients with hepatocirrhosis were adequately prepared before surgery. Smooth radical hepatectomy was performed without blocking liver blood flow. Observed indicators after the operation showed significantly better than the control group and received good results. The report is as follows.