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The radiation dose was 24 Gy in 5 fractions and the target volume was focused on the tumor involved hepatic hilum.

放射治疗的剂量为24 Gy分5次给予且集中在侵犯肝门的肿瘤。

The left and superior layers of the coronary ligament, the falciform ligament and the caudate lobe of liver are appeared simultaneously on any same transverse-sections from the second to the first hepatic portal.

从第二肝门至第一肝门平面的横断层上,可见冠状韧带上层与冠状韧带左层、镰状韧带、肝尾状叶总是同步出现。

Objective: To compare two alternative ultrasound parameters, hepatic vein flow pattern and presence of focal hypoechoic areas within the liver hilus, as non-invasive predictors of liver steatosis in patients with chronic hepatitis C virus infection.

目的:比较两种不同的无创超声参数,即肝门内肝静脉血流模式和是否存在肝门局部低回声区,对预测慢性丙肝病毒感染患者的肝脏脂肪变性的效果。

Results Among 6 cases with PCTPV, 4 cases revealed occlusion of the main branch of portal vein at the hepatic hilum, 2 cases revealed occlusion of the common portal vein, and a masslike network of tortuous veins around the hepatic hilum and many small irregular veins radiating from the network to the liver were demonstrated.

结果:6例中4例清楚显示门脉主要分支近肝门处阻塞,2例门静脉主干阻塞,代之以肿块样纡曲血管并在其周围形成向肝性放射状侧支血管影像,以及离肝性侧支循环静脉。6例CT血管成像均能对与分流或断流手术有关的血管解剖提供准确信息。

The faciform ligament is an important sign of laparoscopic liver surgery and a way of collateral circulation of liver. The superior liver artery found and named in this research can be an important sign to judge the position of hepatic vein. The operation pathway by cutting down the perihepatic ligament next to the superior border of liver is a quick way with little blood. It is difficult to hurt diaphragm and hepatic vein, and the secundum porta hepatic can be showed clearly. As a rule, we break the hepatic vein in the hepatic parenchyma on laparoscopic hepatectomy. But in some situation, extrahepatic treatment was used.

镰状韧带是腹腔镜肝脏外科入路的重要标志,是肝脏侧枝循环的重要途径;本文所发现并命名的肝上动脉可以作为判定肝静脉位置的重要标志;紧贴肝上缘打开肝周韧带,不易损伤膈肌和肝静脉,出血少、速度快,可以使第二肝门获得良好的手术显露;腹腔镜肝切除时一般在肝实质内切断肝静脉,在个别情况也可以预先在第二肝门结扎切断肝静脉。

Resecting giant PLC involving the main hepatic veins and /or retrohepatic vena cava, although challengable, is feasible and safe.

切除累及第二第三肝门的巨大肝癌虽具一定挑战性,但只要方法得当仍然是可行和安全的手术。

Objectives To evaluate the feasibility and safety of resection of giant primary liver cancer which, when involving the main hepatic veins and /or retrohepatic vena cava, tends to be considered irresectable.

目的 累及第二第三肝门的巨大肝癌往往被视为不可切除,本文探讨其可切除性及手术的安全性。

The six month-survival rate of 87.23% and tumor recurrence rate of 20% were observed.Conclusions Resecting giant PLC involving the main hepatic veins and /or retrohepatic vena cava, although challengable, is feasible and safe.

切除累及第二第三肝门的巨大肝癌虽具一定挑战性,但只要方法得当仍然是可行和安全的手术。

Methods Twenty-five cases of giant PLCs, with a mean diameter of 14.78cm, were evaluated. All of the tumors involved the main hepatic veins and /or retrohepatic vena cava. Before resection the tumor was fully exposed and an occluding tape, when neccessary, was placed around the vena cava.

25例累及第二第三肝门的肝癌,平均肿瘤直径14.78cm,分别压迫主要肝静脉根部或/和肝后腔静脉;进腹充分暴露肿瘤后在间歇性第一肝门阻断下切除肿瘤,切肝前根据需要预置腔静脉阻断带备用。

Methods Twenty-five cases of giant PLCs, with a mean diameter of 14.78cm, were evaluated. All of the tumors involved the main hepatic veins and /or retrohepatic vena cava. Before resection the tumor was fully exposed and an occluding tape, when neccessary, was placed around the vena cava. The hepatectomies were performed under intermittent portal triad clamping.

25例累及第二第三肝门的肝癌,平均肿瘤直径14.78cm,分别压迫主要肝静脉根部或/和肝后腔静脉;进腹充分暴露肿瘤后在间歇性第一肝门阻断下切除肿瘤,切肝前根据需要预置腔静脉阻断带备用。

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