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首页> 外文期刊>The Chinese-German Journal of Clinical Oncology >Resection of Giant Hepatic Cavernous Hemangiomas after Dissection of the Third Porta Hepatis
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Resection of Giant Hepatic Cavernous Hemangiomas after Dissection of the Third Porta Hepatis

机译：第三肝门切开后巨大肝海绵状血管瘤的切除

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摘要

Objective To establish a novel and safe operation technique for the resection of giant hepatic cavernous hemangiomas involving the retro-hepatic vena cava. Methods After ligating the hepatic artery of affected lobe, the short hepatic veins at the third porta hepatis were dissected and ligated individually to separate the tumor from the retrohepatic vena cava, followed by the resection of the tumor under intermittent interruption of the porta hepatis. Results A total of 62 giant hepatic cavernous hemangiomas were successfully resected without hepatic vascular exclusion. Right and caudate lobectomies were done in 27 cases, right hemihepatectomies in 5 cases, right upper segmentectomies in 7 cases, right posterior lobec-tomies in 7 cases, extended left and caudate lobectomies in 10 cases, and caudate lobectomies in 6 cases. The blood transfusion requirement during operation was 1 400 ml on average. All did well postoperatively during a follow up of 4 - 84 months. Conclusion It is safe and feasible to resect giant hepatic cavernous hemangioma following dissection of the third porta hepatis. During operation the key step is dissection of the short hepatic veins.
机译：目的建立一种新的安全的手术技术，以切除伴有肝后腔静脉的巨大肝海绵状血管瘤。方法结扎患肝叶肝动脉后，切开第三肝门的短肝静脉，并单独结扎，将肿瘤与肝后腔静脉分开，然后在肝门间歇性中断的情况下切除肿瘤。结果共成功切除62例巨大肝海绵状血管瘤，无肝血管排斥。分别进行了右和尾状切除术27例，右半肝切除术5例，右上节段切除术7例，右后叶切除术7例，左和尾状叶切除术10例，尾状叶切除术6例。术中平均需要输血1400毫升。术后4-84个月，所有患者术后情况良好。结论切除第三肝门后切除巨大的肝海绵状血管瘤是安全可行的。手术中的关键步骤是解剖短肝静脉。

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