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目的 探讨靠近第二肝门处的肝肿瘤的不同手术方法及血管损伤的处理措施。方法 选择 3 6例肝脏肿瘤靠近第二肝门处的病人 ,分别应用常温下全肝血流阻断 (简易法 ,NHVE)、PTC法 ( Portal triad clamping)、选择性半肝血流阻断术 ( Alternatehemihepatic vascularexclusion)进行非规则性肝切除。从阻断肝血流的时间、出血量、术后并发症、肝肾功能及住院天数等项指标分析三种不同手术方法的优缺点。结果 NHVE出血量少、阻断血流时间短 ,而并发症、肝肾功能、住院天数方面无差异性。结论 在处理靠近尤其部分侵及肝静脉、下腔静脉处的肝肿瘤切除时 ,NHVE优势明显
Objective To explore the different surgical methods and treatment measures of vascular injury near the liver tumor at the second porta hepatis. METHODS: Thirty-six patients with liver tumors near the second porta hepatis were selected and were treated with hepatic blood flow block (NHVE), PTC (Portal triad clamping), and selective hepatic artery occlusion at room temperature. (Alternative hepatic vascular exclusion) for irregular liver resection. The advantages and disadvantages of the three different surgical methods were analyzed from the time points of liver blood flow blocking, blood loss, postoperative complications, liver and kidney function, and days of hospitalization. Results There was no difference in complications, hepatorenal function, hospitalization days, and the hemorrhage of NHVE was less, and the blood flow was blocked for a short time. Conclusions The advantages of NHVE are obvious in the treatment of hepatic tumor resection near especially the hepatic vein and inferior vena cava.