EXTENDED LEFT HEPATECTOMY - TECHNICAL ASPECTS OF AN EVOLVING PROCEDURE

被引:46
作者
BLUMGART, LH
BAER, HU
CZERNIAK, A
ZIMMERMANN, A
DENNISON, AR
机构
[1] UNIV BERN,DEPT PATHOL,CH-3000 BERN,SWITZERLAND
[2] UNIV BERN,DEPT VISCERAL & TRANSPLANTAT SURG,CH-3000 BERN,SWITZERLAND
关键词
D O I
10.1002/bjs.1800800735
中图分类号
R61 [外科手术学];
学科分类号
摘要
Lessons learned in an operative experience of 14 patients submitted to extended left hepatectomy for the management of liver tumours are presented. There were no deaths within 30 days of operation. Essential preoperative studies, indications and technical details of the operation are described. The importance of the morphology of the tumour and the influence of the tumour on the technique to be adopted are emphasized. Modifications of technique that allow selection of patients for the procedure, control of venous bleeding, accurate identification of the sectoral portal pedicles within the right liver and definition of the plane of parenchymal transection are addressed.
引用
收藏
页码:903 / 906
页数:4
相关论文
共 21 条
[1]  
ALHADEEDI S, 1990, BRIT J SURG, V77, P1247
[2]   NEW WATER-JET DISSECTOR - INITIAL EXPERIENCE IN HEPATIC SURGERY [J].
BAER, HU ;
MADDERN, GJ ;
BLUMGART, LH .
BRITISH JOURNAL OF SURGERY, 1991, 78 (04) :502-503
[3]   SUBTOTAL HEPATECTOMY - A NEW PROCEDURE BASED ON THE INFERIOR RIGHT HEPATIC VEIN [J].
BAER, HU ;
DENNISON, AR ;
MADDERN, GJ ;
BLUMGART, LH .
BRITISH JOURNAL OF SURGERY, 1991, 78 (10) :1221-1222
[4]   RESECTABILITY OF LARGE FOCAL LIVER-LESIONS [J].
BAER, HU ;
GERTSCH, P ;
MATTHEWS, JB ;
SCHWEIZER, W ;
TRILLER, J ;
ZIMMERMANN, A ;
BLUMGART, LH .
BRITISH JOURNAL OF SURGERY, 1989, 76 (10) :1042-1044
[5]  
BLUMGART H, 1988, SURGERY LIVER BILIAR, V2, P1251
[6]  
COUINAUD C, 1954, J Chir (Paris), V70, P933
[7]  
COUINAUD C, 1989, SURGICAL ANATOMY LIV, P70
[8]  
Couinaud C, 1957, FOIE ETUDES ANATOMIQ
[9]  
CZERNIAK A, 1993, IN PRESS SURG GYNECO
[10]  
GOLDSMITH NA, 1957, SURG GYNECOL OBSTET, V105, P310