常温下全肝血流阻断切除小儿巨大肝肿瘤

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采用常温下全肝血流阻断切除4例巨大肝肿瘤。其中右三叶切除2例,左三叶切除1例,肝左叶切除加第Ⅷ肝段切除1例。全肝血流阻断时间为5~14min,术中输血200~600ml。无手术死亡。病理:肝母细胞瘤3例,肝细胞腺瘤1例。常温下全肝血流阻断可防止术中空气栓塞或致命性大出血,提高巨大肝肿瘤的根治性切除率,尤其适用于切除累及或邻近肝静脉或肝后下腔静脉的肝肿瘤。常温下全肝血流阻断是一项实用而有效的小儿肝外科技术。 General hepatic blood flow was used to block 4 cases of massive liver tumors at room temperature. Among them, there were 2 cases of right tricusectomy, 1 case of left tri-lobectomy, 1 case of left hepatectomy and VIII hepatectomy. The total hepatic blood flow blocking time was 5 to 14 minutes, intraoperative blood transfusion 200 to 600 ml. No operative death. Pathology: 3 cases of hepatoblastoma and 1 case of hepatocellular adenoma. The hepatic blood flow blockage at room temperature can prevent intraoperative air embolism or fatal bleeding and increase the radical resection rate of giant liver tumors. It is particularly suitable for resection of liver tumors that involve or are adjacent to the hepatic vein or the inferior vena cava. Hepatic blood flow blockage at room temperature is a practical and effective technique for pediatric hepatic surgery.
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