Different approaches to caudate lobectomy with“curettage and aspiration”technique using a special instrument PMOD:A Report of 76 cases

查看全文 作　　者：Shu—[1]YouPeng;Jiang—[1]TaoLi;Yi-[2]PingMou;Ying-[1]BinLiu;Yu-[1]LianWu;He-[1]QingFang;Li-[1]PingCao;[1]LiChen;Xiu-[1]JunCai;Cheng-[1]HongPeng

机构地区：[1]DepartmentofSurgery,2^ndAffiliatedHospital,SchoolofMedicine,ZhejiangUniversity,Hangzhou310009,ZhejiangProvince,China;[2]DepartmentofSurgery,SirRunRunShawHospital,SchoolofMedicine,ZhejiangUniversity,Hangzhou310009,ZhejiangProvince,China

出　　处：《World Journal of Gastroenterology》索引2003年第9卷第10期,共5页

摘　　要：AIM: To study different approaches to caudate lobectomy with 'curettage and aspiration' technique using Peng's multifunctional operative dissector (PMOD). The surgical procedure of isolated complete caudate lobectomy was specially discussed.METHODS: In 76 cases of various types of caudate lobectomy, three approaches were used including left side approach, right side approach, and anterior approach.Among the 76 cases, isolated complete caudate lobectomy was carried out in 6 cases with transhepatic anterior approach. The surgical procedure consisted of mobilization of the total liver, ligation and separation of the short hepatic veins, splitting the liver parenchyma through the Cantlie's plane, ligation and division of the caudate portal triads from the hilum, dissection of the root of major hepatic veins,detachment of the caudate lobe from liver parenchyma.RESULTS: The mean operative time was 285±51 min,the mean blood loss was 1 600 mi. No severe complications were observed. Among the 6 cases receiving isolated complete caudate lobectomy with transhepatic anterior approach, one case died 17 months after operation due to disease recurrence and liver failure, the other 5 cases have been alive without recurrence, with one longest survival of 49 months.CONCLUSION: The choice of approach is essential to the success of caudate lobectomy. As PMOD and 'curettage and aspiration' technique can delineate intrahepatic or extrahepatic vessels clearly, caudate lobe resection has become safer, easier and faster. 关键词：肝尾叶切除术刮除术吸引术多功能外科解剖器临床应用

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Different approaches to caudate lobectomy with“curettage and aspiration”technique using a special instrument PMOD:A Report of 76 cases

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