肝脏微小占位病变的手术定位与切除_赵文和.pdfVIP

2002 3 8 3 　Chin J Hepatobiliary Surg, Mar 2002, Vol.8, No.3 ·145 · ·· 赵文和　马志敏　周杏仁　冯懿正 【】　　2 cm 。　1986 ～2000 、≤2 cm 27 , 34 。　 6 ;13 ;。 15 4 , 5 ; B 4 ; 2 。　。 , ;, B , 。 【】　;　;　 Localization and resection of liver minute nodule ZHA O Wenhe, MA Zh im in , Z HOU X ing ren, et al. Depart ment of Tum or S urgery , the F irst Af f iliated Hosp ital of M ed ical College, Zhe iang Un ivers ity , Hangz hou 310003, P .R .Ch ina 【Abstract】　Objective 　T o study the localization and resection of minute space-occupying lesions in the li er with a diameter less than 2 cm.Methods　The clinical data of 27 patients w ith minute space-occu- py ing in the li er treated in our hospital from 1986 to 2000 were retrospecti ely analyzed.In these 27 pa- tients, a total 34 foci were pathologically confirmed and their maximal diameter was equal to 2 cm.R esults 　Six foci w ere found to ha e in aded the li er capsule.Thirteen foci that could be touched w ere treated w ith limited resection.As for the other 15 foci that could not be touched, 4 w ere treated w ith limited re- section and 5 with segmentectomy or lobectomy of the li er based on preoperati e localization by imaging technique, 4 recei ed resection according to the localization by B-mode ultrasonography during the operation and 2 limited resection because of quandom operation scar.Conclusions　Knowing the li er anatomy and image characteristics is important for localizing the segment of lesions.T ouching the w hole li er during op- eration can a oid missing lesions.Those small lesions that can not be touched can be resected according to preoperati e localization by imaging technique, perioperati e B-mode ultrasonography or exploration through incising the li er capsule. 【Key words】　Li er neoplasms;　Li er space-occupy ing lesion;　Hepatectomy 　　(AFP )B