腹腔镜右肝背静脉第一入路第七节肝切除术治疗肝癌1例

Q4 Medicine

中华肝胆外科杂志 Pub Date : 2020-03-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2020.03.018

Hui Zhang, Xiaohui Duan, X. Mao, Xiaoti Liu, Y. Shen

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引用次数: 0

摘要

The patient is a 57-year-old male who underwent laparoscopic liver segment VII resection and left lateral lobe resection, with abdominal enhanced CT showing liver segment II and VII masses. After resection of the left outer lobe of the liver, the liver parenchyma and right hepatic venous reflux branch were severed along the root of the right hepatic vein through a dorsal approach. Subsequently, the anterior approach was used, and the liver parenchyma was gradually severed from the edge of the liver towards the second hepatic portal along the ischemic boundary, until the dorsal approach liver detachment section. Complete anatomical resection of segment VII. The duration of the seventh segment resection surgery was approximately 150 minutes, with 4 hepatic portal blockages for a total of 60 minutes. The bleeding volume was 100 ml, and no blood transfusion was performed. There was no recurrence or metastasis of liver cancer during an 8-month follow-up.

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Laparoscopic anatomical hepatectomy of segment VII for hepatocellular carcinoma by the dorsal right hepatic vein first approach: a case report

患者男性，57岁，腹部增强CT提示肝Ⅱ段、Ⅶ段占位，行腹腔镜肝Ⅶ段切除及左肝外叶切除。切除左肝外叶后，从背侧入路沿肝右静脉根部离断肝实质及肝右静脉回流支。随后转为前入路，沿缺血分界线自肝边缘向第二肝门逐步离断肝实质，直至背侧入路肝离断面。完成Ⅶ段解剖性切除。Ⅶ段切除手术时间约150 min，肝门阻断4次，共60 min，出血量100 ml，未输血。随访8个月无肝癌复发或转移。

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来源期刊

中华肝胆外科杂志 Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

7101

期刊介绍： Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences). Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.