Yesterday, we underwent resection of hepatocellular carcinoma in a patient with a large right liver cancer. In the operation, the liver was
Yesterday, we underwent resection of hepatocellular carcinoma in a patient with a large right liver cancer. In the operation, the liver was characterized by liver cirrhosis, and there was a tumor located in the right inferior hepatic segment. The longest diameter was about 15cm, and there were a few of the right upper lobe and left internal lobe. The left half liver volume small, such as the rules of right hepatectomy, postoperative risk with hepatic insufficiency, then the decision including metastasis, right hepatic resection, intraoperative application of modified hepatectomy and traditional method of cut off liver, smooth removal of the right liver, liver resection in the process of blood loss the minimal amount of total blood loss, the operation process is only about 150ml, naturally without blood transfusion, after tumor resection of residual liver blood supply. The patient returned to the ward ruddy, vital signs are stable, normal hemoglobin, very satisfied with the patients and their families.
In this paper, the author applies the improved technique of bloodless hepatectomy and various kinds of liver cutting techniques to effectively control the amount of blood loss during the process of liver resection, which can be controlled within 300ml~500ml. In this case, because of the effective control of the amount of bleeding during the resection of the liver, it makes it very easy to remove the huge liver cancer.
As we all know, the liver is rich in blood supply, the biggest risk is that the amount of blood loss is difficult to control, the amount of blood loss directly threaten the patient's life safety and postoperative liver function recovery. Flexible application of modified hepatectomy and liver transection method, and skilled, can effectively control the amount of bleeding during hepatectomy, to ensure the safety of operation, to create a general unimaginable miracle. As long as there are indications, liver surgery no restricted area.