肝门静脉的

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

To compare the image quality of the three sequences in two groups by One-Way ANOVA and T Test. The qualitative assessment standards include clarity, artifacts, signal uniformity, the conspicuity of enhanced vein and the observable grade of intrahepatic venous branchs. The quantitative assessment standards include SNR and CNR of intrahepatic portal vein and hepatic veins. Furthermore, the anatomy and variations of the intrahepatic portal vein and hepatic veins are statistical analysed.

通过方差分析和T检验分别对A、B组三个序列的图像质量进行比较，评定标准包括清晰度、伪影、信号均匀性、静脉强化程度及肝内静脉分支显示级数等定性指标和肝内门静脉、肝静脉的SNR(Signal-Noise Ratio，信噪比)及CNR(Contrast-Noise Ratio，对比度噪声比)等定量指标。

At the same time, the quantity of the reperfusion liquid should be controlled; 10 ml reperfusion liquid can effectively lustrate the blood and the air that resided in the liver.Key words liver transplantation; rats; reperfusion; animal model 建立稳定大鼠原位肝移植rat orthotopic livertransplantation,ROLT

通过改进技术改善肝功能，提高了生存率，尤其在冷保存时经门静脉再灌注，在供肝的质量上明显优于不进行灌注组，并应严格掌握灌注液体量，10 ml灌注量明显优于其他液体量，能有效地驱除供肝内残留的血液和气泡。

Objective To study the changes of liver blood flow before and after portal vein thrombusof hepatocellular carcinoma.

目的 研究原发性肝癌合并门静脉癌栓时门静脉和肝动脉的超声表现和血流动力学变化。

We established heterotopic partial liver transplantation models in pigs which transplanted at right subhepatic space, two livers blood flow was limited by partially constraining host portal vein and to investigate the change of ODER when the Liver was atrophic caused by insufficient portal blood flow.

建立猪右肝下部分肝移植模型，动脉血供相同，部分缩窄宿主门静脉控制两肝门静脉血流，观察入肝血流量对移植肝或宿主肝的影响，检测血清中自由基的变化。

IRHV was demonstrated in 153/270(56.7%), CHV was demonstrated in 68/270(25.2%). Conclusions Portal and hepatic vein can be displayed accurately by 3D 64-MSCT angiography , which could measure diameter or other information about the veins at any cross-section. Meanwhile, more anatomic information could be provided for hepatic segments resection and liver transplantation directively. Portal and hepatic vein diseases could be diagnosed by 3D 64-MSCTA accurately and directly also.

肝脏门静脉及肝静脉的多层螺旋CT血管成像能准确、立体地显示大血管的空间位置关系，在不同的切面上准确测量血管的直径或其他的解剖学数据，为临床提供大量有用的解剖学信息，对确定肝脏病灶的叶段切除和肝移植的手术方式具有指导价值，同时还能直观、准确地诊断肝脏门静脉及肝静脉的病变。

Results:(1) All of HCC were irregular hyperdense in arterial phase companioned with mass and hyperdense tumor vessels.

结果 ：( 1)肝动脉期肿瘤实质出现密度高于肝实质的肿瘤血管和瘤区强化，门静脉期其密度迅速降低，至平衡期为低密度；( 2 )肿瘤边缘于肝动脉期和门静脉期均可见环行强化；( 3)转移性子灶仅在肝动脉期明显强化，门脉期全瘤密度迅速降至等密度；( 4)门静脉受累表现为肝内分支的边缘侵蚀、破坏、中断，或为不规则的充盈缺损。

Results Segmentalbranchesofpor-tal vein supplied correspondingly hepatic segment,and hepatic vein and its branches located between adjacenthepatic segments. Branches ofportalvein could cross the adjacenthepatic vein. The boundaries ofhepatic seg-mentswere not simple straight lines or flat planes.

结果 门静脉段级分支位于相应的肝段中，而肝静脉及其分支位于相应肝段间，肝静脉相邻各段门静脉分支可跨过肝静脉平面，肝段的分界不是简单的直线或者平面。

After 20, 40, 60 or 90 minutes ischemia and 120 minutes reperfusion, the ratio of necrotic to no-necrotic liver were 3.9%, 13.5%, 66.4% or 82.7%, of those the percentage necrosis during reperfusion 120 minutes was 7.7%, 11.1%, 68.1% or 67.2% respectively; The liver volume of blood flow decreased to 94.7%, 85.3%, 55.9% or 43.5% of normal values in end of ischemia; Liver sinusoidal obstruction by blebs originating from the hepatocytes, fragments of sinusoidal endothelial cell damage and aggregation of blood cells was observed in group of 60, 90 minutes ischemia.

血流阻断20、 40、 60和90 min组再开放2 h，肝总坏死范围分别为3.9%、 13.5%、 66.4%和82.7%，其中肝血流开放后的肝坏死范围分别占肝总坏死范围的7.7%、 11.1%、 68.1%和67.2%；肝门静脉恒压灌流量于阻断期末分别下降5.3%、 14.7%、 44.1%和56.5%；肝血窦在阻断20、 40 min组无阻塞现象，阻断60和90 min组出现血细胞，膜浆泡和纤维束积滞，阻塞血窦面积占肝血窦总面积的50%。

Methods: The study was made on 30 adult cadaveric liver specimens. The distance between the liver surface and Glisson vesica,the diameter and the length of portal vein and its left and right branch were investigated.

在30例成人尸体肝门附近切开肝实质，测量切口深度，即肝表面至深方Glisson囊的距离，门静脉及其左、右支末端直径和长度，观察肝动脉的分支及毗邻。

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了