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肝叶切除后断面止血及閉合小的胆瘻往往是很困难的。有人利用鐮状韌带复盖断面,但有时因面积不够大,或因韌带內已有癌症侵入而不能利用。可吸收的胶貭海綿及氧化賽璐珞复盖断面虽可暫收止血之效,但总的說来并不滿意。近来又有人在动物实驗中利用替氏皮片植于出血之肝面,虽有止血作用,但皮片以后会收縮至原有面积的30％。作者用游离的大网膜或壁层腹膜复盖肝断面得到了良好的效果。腹壁上切去的腹膜很快就会再生;一般不致产生粘連,即使有,也不致多到发生并发症的程度。作者用动物实驗証实了这一方法的效果。
Section liver hemostasis and closure of small bile fistula is often very difficult. Some people use the sickle-shaped ligament cover the cross-section, but sometimes because of the area is not big enough, or invaded by cancer within the ligaments can not be used. Absorbable gel sponge and oxidation celluloid coverage section can temporarily stop the bleeding effect, but generally not satisfied. Recently, another animal experiment using leptographs implanted in the liver of the bleeding surface, although hemostatic effect, but after the skin will shrink to 30% of the original area. The authors obtained good results with free omentum or parietal peritoneal coverage of liver sections. The peritoneum cut on the abdominal wall will soon regenerate; generally do not cause adhesions, even if there is, will not lead to the extent of complications. The author used animal experiments to confirm the effect of this method.