Resection of Giant Hepatic Cavernous Hemangiomas after Dissection of the Third Porta Hepatis
Resection of Giant Hepatic Cavernous Hemangiomas after Dissection of the Third Porta Hepatis作者机构：Eastern Hepatobiliary Surgery Hospital Second Military Medical University Shanghai China
出 版 物：《The Chinese-German Journal of Clinical Oncology》 (中德临床肿瘤学杂志（英文版）)
年 卷 期：2002年第1卷第1期
页 面：13-15页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：liver cavernous hemangioma
摘 要：Objective To establish a novel and safe operation technique for the resection of giant hepatic cavernous hemangiomas involving the retro-hepatic vena cava. Methods After ligating the hepatic artery of affected lobe, the short hepatic veins at the third porta hepatis were dissected and ligated individually to separate the tumor from the retrohepatic vena cava, followed by the resection of the tumor under intermittent interruption of the porta hepatis. Results A total of 62 giant hepatic cavernous hemangiomas were successfully resected without hepatic vascular exclusion. Right and caudate lobectomies were done in 27 cases, right hemihepatectomies in 5 cases, right upper segmentectomies in 7 cases, right posterior lobec-tomies in 7 cases, extended left and caudate lobectomies in 10 cases, and caudate lobectomies in 6 cases. The blood transfusion requirement during operation was 1 400 ml on average. All did well postoperatively during a follow up of 4 - 84 months. Conclusion It is safe and feasible to resect giant hepatic cavernous hemangioma following dissection of the third porta hepatis. During operation the key step is dissection of the short hepatic veins.
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