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目的进一步改进无血切肝技术,提高肝脏巨大肿瘤患者的切除率和手术耐受性。方法回顾分析16例肝脏巨大肿瘤切除术,讨论选择性出入肝血流阻断方式在肝切除中的应用。结果巨大肝脏肿瘤在肝切除手术中,应用选择性出入肝血流阻断术,术中出血少,患者耐受性好,提高了肝脏手术的切除率。结论应用选择性出入肝血流阻断术可以提高肝脏巨大肿瘤的切除率和手术耐受性,为肝脏手术提供了一个合理安全的术式。
Objective To further improve the technique of liverless hepatectomy and improve the resection rate and surgical tolerance of patients with huge liver tumors. Methods Retrospective analysis of 16 cases of giant liver tumor resection, discuss the selective hepatic blood flow blocking in hepatectomy. Results In the operation of hepatectomy, huge hepatic tumor was treated with selective hepatic blood flow occlusion, with less intraoperative bleeding and better patient tolerance, which improved the resection rate of hepatic surgery. Conclusion The selective hepatic blood flow occlusion can improve the resection rate and surgical tolerance of huge liver tumors and provide a reasonable and safe procedure for hepatic surgery.