原发性肝癌术中大出血的原因及外科处理

doi:10.3969/j.issn.2095-378X.2017.03.002

Surgical Research and New Technique ›› 2017, Vol. 6 ›› Issue (3): 152-154.doi: 10.3969/j.issn.2095-378X.2017.03.002

• Original article • Previous Articles Next Articles

Causes and surgical treatments of intraoperative massive haemorrhage in operation for primary liver cancer

LIU Pengfei¹, LIU Kai¹, YE Chun¹, XU Wen²

1.Department of General Surgery,Tongji Hospital Affiliated to Tongji University, Shanghai 200065,China;
2.Depatment of Radiology,Shanghai Ouyang Hospital,Shanghai 200081,China

Received:2017-02-06 Published:2019-12-11

Abstract

Abstract: Objective To analyze common causes and corresponding treatments of massive haemorrhage in the operation for primary liver cancer.Methods Based on 14 cases of primary liver cancer with intraoperative massive haemorrhage,we summarized possible causes of intraoperative massive haemorrhage.Results Damages to hepatic short vein (5 cases),inferior vena cava (1 case),and right hepatic vein (2 cases) occurred during the separation of liver cancer.Damages to large intrahepatic venous branches (6 cases) occurred during hepatecomy.Conclusion Operation plans help avoid damages during the resection of large tumors in right liver and middle liver.In addition,ligating under direct vision (or after hepatic blood occlusion) rather than random clamp is recommended for intraoperative massive haemorrhage.

Key words: Primary liver cancer, Liver operation, Intraoperative massive haemorrhage

CLC Number:

R735.7

LIU Pengfei, LIU Kai, YE Chun, XU Wen. Causes and surgical treatments of intraoperative massive haemorrhage in operation for primary liver cancer[J]. Surgical Research and New Technique, 2017, 6(3): 152-154.

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Causes and surgical treatments of intraoperative massive haemorrhage in operation for primary liver cancer

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