Application of hepatic segment vascular occlusion technology in precise fiver segmentectomy for hepatocellular carcinoma
10.3760/cma.j.issn.1007-631X.2013.07.011
- VernacularTitle:肝段血流阻断技术在肝癌患者精准肝段切除中的应用
- Author:
Min ZHU
;
Chongzhong LIU
;
Sanyuan HU
;
Jiankang ZHU
;
Fengyue LIU
;
Mingwei ZHONG
- Publication Type:Journal Article
- Keywords:
Carcinoma,hepatocellular;
Hepatectomy;
Hepatic segment vascular occlusion
- From:
Chinese Journal of General Surgery
2013;28(7):523-525
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate hepatic segment vascular occlusion technology in precise resection of liver segment.Methods Sixty-seven cases of liver cancer patients who underwent precision liver segment resection from August 2007 to May 2012 in Qilu Hospital were analyszed retrospectively.There were 51 male patients and 16 female patients,age ranging from 45 to 66 yrs.Results All operations were performed successfully.All cases were with single tumor,the diameter ranged from 2 cm to 6 cm.Resection of segment Ⅲ was performed in 22 cases,segment Ⅳ in 10 cases and segment Ⅵ in 35 cases.Operation time was 50-120 minutes,and the average time was 73 minutes.Blood loss was 50-200 ml,averaging 86 ml.No patient needed blood transfusion.Postoperative incisional liquefaction was found in 6 cases which were cured with interference in time.There was no bile leakage,hemorrhage,celiac infection and complications such as liver failure.The average hospital stay was 7.8 days.No rccurrence was found during 3 months follow-up.Conclusions Hepatic segment vascular occlusion technology was safe and feasible in precise resection of liver segment in liver cancer patients.It effectively controlled blood loss and reduced liver damage.
