지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.8
- 수록면
- 122 - 129 (8page)
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초록· 키워드
오류제보하기
Purpose: The liver hanging maneuver (LHM) is a useful technique enabling a safe anterior approach, which is one of the most important innovations in the field of major hepatic resections. This study was conducted to review tumors’ profiles after applying this procedure and to evaluate the usefulness of LHM and Glissonean pedicle transaction method (GPTM).
Methods: Medical records of 64 patients who underwent hepatic resection using LHM and GPTM at the Asan Medical Center were reviewed. The classic LHM was conducted according to the Belghiti method.
Results: Among 64 patients, 46 patients had hepatocellular carcinoma; 7, intrahpatic cholangiocarcinoma; 4, hilar cholangiocarcinoma; 4, metastatic liver cancer; 3, benign liver tumor. Mean tumor size was 10.6 cm (3∼22). Mean liver parenchymal transection time was 20 min (15∼30). Right side hepatectomy was performed in 44 patients; left side hepatectomy with or without caudate lobe was performed in 19 patients. Twenty patients (31.3%) required blood transfusion during surgery. There was no in-hospital mortality or major complications. Minor complications developed in 6 patients (9.37%).
Conclusion: GPTM and LHM are a safe and useful surgical application of various anatomical resections for huge liver tumor and an effective procedure during left hepatectomy with or without caudate lobe.
Methods: Medical records of 64 patients who underwent hepatic resection using LHM and GPTM at the Asan Medical Center were reviewed. The classic LHM was conducted according to the Belghiti method.
Results: Among 64 patients, 46 patients had hepatocellular carcinoma; 7, intrahpatic cholangiocarcinoma; 4, hilar cholangiocarcinoma; 4, metastatic liver cancer; 3, benign liver tumor. Mean tumor size was 10.6 cm (3∼22). Mean liver parenchymal transection time was 20 min (15∼30). Right side hepatectomy was performed in 44 patients; left side hepatectomy with or without caudate lobe was performed in 19 patients. Twenty patients (31.3%) required blood transfusion during surgery. There was no in-hospital mortality or major complications. Minor complications developed in 6 patients (9.37%).
Conclusion: GPTM and LHM are a safe and useful surgical application of various anatomical resections for huge liver tumor and an effective procedure during left hepatectomy with or without caudate lobe.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (22)
참고문헌 신청
1. [학술지(정기간행물)] - Yamamoto M / 2001 / Effectiveness of systematized hepatectomy with Glisson's pedicle transection at the hepatic hilus for small nodular hepatocellular carcinoma: retrospective analysis / Surgery 130 : 443 ~ 448
2. [학술지(정기간행물)] - Torzilli G / 2002 / Ultrasound-guided liver resections for hepatocellular carcinoma / Hepatogastroenterology 49 : 21 ~ 27
3. [학술지(정기간행물)] - Takasaki K / 1998 / Glissonean pedicle transection method for hepatic resection: a new concept of liver segmentation / J Hepatobiliary Pancreat Surg 5 : 286 ~ 291
4. [학술지(정기간행물)] - Takasaki K / 1998 / Hepatic resection using glissonean pedicle transection / Nippon Geka Gakkai Zasshi 99 : 245 ~ 250
5. [학술지(정기간행물)] - Lai EC / 1996 / Anterior approach for difficult major right hepatectomy / World J Surg 20 : 314 ~ 318
2. [학술지(정기간행물)] - Torzilli G / 2002 / Ultrasound-guided liver resections for hepatocellular carcinoma / Hepatogastroenterology 49 : 21 ~ 27
3. [학술지(정기간행물)] - Takasaki K / 1998 / Glissonean pedicle transection method for hepatic resection: a new concept of liver segmentation / J Hepatobiliary Pancreat Surg 5 : 286 ~ 291
4. [학술지(정기간행물)] - Takasaki K / 1998 / Hepatic resection using glissonean pedicle transection / Nippon Geka Gakkai Zasshi 99 : 245 ~ 250
5. [학술지(정기간행물)] - Lai EC / 1996 / Anterior approach for difficult major right hepatectomy / World J Surg 20 : 314 ~ 318
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