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目的为切除紧贴腔静脉的肝脏巨大海绵状血管瘤寻找一种新的安全的手术途径。方法在患侧肝动脉结扎后，于第三肝门部位逐一分离、结扎、切断肝短静脉，使瘤体与腔静脉分离，在肝门阻断下切除瘤体。结果全组２７例，行肝右叶及尾叶切除１３例，右半肝切除２例，右肝上段切除３例，右后叶切除２例，左三叶及尾状叶切除５例，尾状叶切除２例。皆未行全肝血流阻断。术中输血平均１１５０ｍｌ，术后随访３～４８个月，全部情况良好。结论采用解剖第三肝门切除巨大肝脏海绵状血管瘤是安全、有效的方法。
Objective To find a new safe surgical approach for resecting the giant cavernous hemangiomas in the liver immediately adjacent to the vena cava. Methods After hepatic arterial ligation was performed on the affected hepatic artery, the third hepatic hilum was separated, ligated, and cut off the short hepatic vein. The tumor was separated from the vena cava and the tumor was removed under hepatic portal occlusion. Results Twenty-seven patients in the whole group were treated with right hepatic lobe and caudate lobe resection in 13 cases, right hemihepatectomy in 2 cases, right upper segment resection in 3 cases, right posterior lobe resection in 2 cases, left tricuspidectomy and caudate lobe resection in 5 cases. The lobectomy was performed in 2 cases. No whole liver blood flow was blocked. The average blood transfusion was 1150ml. Follow-up was performed for 3 to 48 months. All were in good condition. Conclusion It is a safe and effective method to remove giant hepatic cavernous hemangioma with anatomical third porta.