关键词: 肝中叶肝切除术, 术前评估

Abstract:

Preoperative assessment and surgical technique of mesohepatectomy        YANG Jia-mei，LU Jiong-jiong.  Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200438, China
Corresponding author: YANG Jia-mei，E-mail: jiameiyang@ssmu.edu.cn
Abstract    Objective    To investigate the surgical technique and safety of mesohepatectomy. Methods    The clinical data of 62 cases of mesohepatectomy performed between January 2006 and March 2010 at Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University were analyzed retrospectively. Results    The postoperative complication rate was 11.3%(7/62). There were bile leakage in 4 cases, pleural effusion in 1 case and adult respiratory distress syndrome in 1 case. Above complications cases were cured. One case (1.61%) died of pulmonary embolism. Conclusion    The preoperative assessment could mainly depand on the resectability and preoperative liver function.  The control of operative blood loss, management of the cut surfaces and secure the inflow and outflou of the remained liver could be the important methods of mesohepatectomy.

Key words: mesohepatectomy; , preoperative assessment