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本文报道作者在常温下阻断入肝血流行肝切除术81例。其中采用常温下长时间阻断入肝血流(时间为20～60min,平均为31.4min)行肝切除术46例(长时间组),男36例,女10例。年龄10～64岁,平均42岁。手术方式包括各类肝段切除、左半肝切除、肝右三叶切除、左半肝切除加胆总管空肠Roux-Y吻合等。结果:全组无手术死亡,术后无一例发生肝性脑病。同时期采用限时性阻断入肝血流(时间均少于20min)
This article reports 81 cases of hepatomegaly blocking liver hepatectomy at room temperature. Among them, 46 cases (long-term group) were undergone hepatectomy by blocking blood flow into the liver at a room temperature for a long period of time (time was 20 to 60 minutes, an average of 31.4 minutes). There were 36 males and 10 females. Age 10-64 years old, an average of 42 years old. Surgical methods include various types of hepatic segmentectomy, left hemihepatectomy, right hepatic resection, left hemihepatectomy, and common bile duct Roux-Y anastomosis. Results: There were no operative deaths in the whole group. No postoperative hepatic encephalopathy occurred. Simultaneous use of limited time blocking blood flow into the liver (time less than 20min)