摘要
目的:探讨双侧肝叶巨大血管瘤的外科手术方式并总结治疗经验.方法:对1例罕见的特大双侧肝叶血管瘤患者的临床资料进行完整详细的回顾性分析及术后随访.结果:1例罕见的特大双侧肝叶血管瘤患者因正常肝组织较少无法同时施行左、右侧肝叶血管瘤切除术.该患者接受了二期血管瘤切除术治疗:一期手术切除左侧肝叶巨大血管瘤,术后恢复顺利,残余正常肝组织向左侧增生,但同时右侧肝血管瘤也继续增大;术后3.5年时接受了二期手术切除了右侧肝叶巨大血管瘤,该患者术后逐渐康复.至今已经健康存活4年余.结论:双侧肝叶巨大血管瘤可先切除左侧肝叶巨大血管瘤,使正常肝组织解除压迫,获得生长空间,从而逐渐增生,随后择期二期切除右侧肝叶巨大血管瘤.
AIM：To explore the surgical procedure for giant cavernous hemangioma involving the bilateral lobes of the liver and to summarize therapeutic experience. METHODS：The clinical data for a female patient with giant cavernous hemangioma involving the bilateral lobes of the liver were retrospectively analyzed.Postoperative follow-up was carried out. RESULTS：The patient could not bear one-stage resection of bilateral hemangiomas because small amount of liver parenchyma left would fail to support her life.A two-stage surgical procedure was then designed for her.In the first stage,the left hemangioma was excised smooth-ly to eliminate compression of normal liver parenchyma.The rest normal liver tissue was then allowed to grow.Three and a half years later, the volume of the left liver lobe was enlarged markedly,and the hemangioma in the right liver lobe also grew larger.The second-stage excision of the right hemangioma was then performed. The surgery was successful.Postoperatively,the patient recovered gradually.Up to now,she is surviving healthily more than 4 years. CONCLUSION：Excision of the left hemangioma in advance can eliminate compression of normal liver tissue and thus permit the left normal liver tissue to gain growth space.The enlarged normal liver tissue increases liver function reserve and obviously facilitates subsequent secondstage resection of the right hemangioma.
出处
《世界华人消化杂志》
CAS
北大核心
2010年第11期1163-1168,共6页
World Chinese Journal of Digestology
关键词
肝巨大血管瘤
双侧肝叶
分期手术
Giant hepatic hemangioma
Bilateral hepatic lobes
Staging operation
作者简介
通讯作者：张洪义，主任医师．100142，北京市，中国人民解放军空军总医院肝胆外科zhhyiyi1487@163.com
