肝脏血管隔离(HVE)切肝技术又称无血切肝术,是当代肝脏外科新技术。我们于1989年开始研究常温下经腹全肝血流阻断切肝术,经动物实验研究、尸体解剖研究、临床应用研究及推广使用,现已完成52例经腹无血切肝术。报告如下。 1 一般资料本组52例,男44例,女8例。年龄最小0.6岁,最大67岁,平均42.5岁。本组原发性肝癌38例,其中合并代偿期期肝硬化35例,肝功能Child A级18例,B级17例。肝母细胞瘤3例,均为小儿。肝细胞腺瘤3例,肝巨大海绵状血管瘤8例。52例肝肿瘤均贴近或侵及主肝静脉或肝后下腔静脉,用常规方法难以切除,其中4例是外院剖腹探查未能切除的巨块型肝癌。 Liver vascular isolation (HVE) liver cutting technique, also known as bloodless hepatectomy, is a new technique in contemporary liver surgery. In 1989, we began to study liver transabdominal hepatic artery occlusion at normal temperature. Through animal studies, autopsy studies, clinical application studies, and popularization, 52 cases of abdominal hepatectomy without blood have been completed. The report is as follows. 1 General information The group of 52 patients, 44 males and 8 females. The youngest is 0.6 years old, the oldest is 67 years old, and the average is 42.5 years old. There were 38 cases of primary liver cancer in this group, including 35 cases of cirrhosis with compensatory phase, 18 cases of liver function Child A, and 17 cases of B. Hepatoblastoma in 3 cases, are children. There were 3 hepatocyte adenomas and 8 giant hepatic cavernous hemangiomas. All the 52 cases of liver tumors were close to or invading the main hepatic vein or the posterior inferior vena cava and were difficult to remove by conventional methods. Among them, 4 cases were massive hepatocellular carcinoma that could not be removed by exploratory laparotomy in the external hospital.