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目的研究复杂肝脏肿瘤切除术的手术方法及术中应注意的事项。方法总结分析2009年至今我们应用CUSA共完成肝脏中肝叶及尾状叶肿瘤切除21例。其中尾状叶9例,Ⅳ段切除5例,Ⅳ、Ⅴ、Ⅷ段联合切除7例。结果 21例患者均手术成功,无死亡,顺利出院。结论尾状叶和中肝叶手术切除是肝外科较困难的。先进的器械加精细的外科操作以及系统的解剖知识是完成这类难度较大手术的保证。术中超声定位亦不可少。
Objective To study the surgical methods of complicated hepatic tumor resection and the items to be noticed in the operation. Methods To summarize and analyze since 2009, we completed a total of 21 cases of hepatic lobe and caudate lobe resection in liver using CUSA. Among them 9 cases of caudate lobe, 4 cases of resection in 5 cases, Ⅳ, Ⅴ, Ⅷ section resection in 7 cases. Results All the 21 patients were successfully surgically removed without any death and discharged successfully. Conclusion caudate lobectomy and lobectomy in liver surgery is more difficult. Advanced instruments plus fine surgical procedures and systematic anatomy are the guarantees for such difficult operations. Intraoperative ultrasound positioning is also essential.