【摘要】 目的探讨肝脏巨大肿瘤施行肝切除术中不输血的手术技术的可行性、术后疗效和优点。方法对12例术中未输血的肝脏巨大肿瘤病人施行精准的肝切除术并进行回顾性分析。结果全组病人无手术死亡,无术后严重并发症发生。平均住院日为11天。随访10例原发性肝癌病人,1例半年后肿瘤复发,1例2年后肿瘤复发,其他8例存活,无肿瘤复发。结论严格的病人选择,良好的术中显露,完全的血流阻断和精准的切肝技术为施行不输血的肝脏巨大肿瘤肝切除的前提。围术期不输血能明显降低术后并发症的发生率,缩短住院日,明显提高术后5年存活率,降低术后肿瘤复发率。更多还原

【Abstract】 Objective To explore feasibility of operative technique.postoperative effect and advantages of liver resection for the treatment of the patients with giant hepatic tumor without intraoperative blood transfusion.Methods The retrospective analysis was done for 12 patients with hepatic tumor undergoing perfect liver resection without blood transfusion.Results There are no mortality rate and no severe postoperative complications.The average days of stay in hospital are 11 days.Ten patients with primary liver cancer were followed up,of which one case was recurrent postoperative half year,1 was recurrent postoperative 2 years and 8 was not recurrent and still alive.Conclusions The strict choice of the patients,good intraoperative exposure.complete hepatic inflow exclusion and perfect liver resection technique are the premise of liver resection for the treatment of the patients with giant hepatic tumor without intraoperative blood transfusion.This kind of therapeutic modality could decrease postoperative complication rate,the average days of stay in hospital and postoperative tumor recurrence rate and increase postoperative survival rate of 5-year.更多还原