首页|手术诱导肝脏体积增生的现状及研究进展

手术诱导肝脏体积增生的现状及研究进展

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目的 阐述常见手术诱导肝脏体积增生方法的应用现状及研究进展.方法 对临床采用的门静脉栓塞术、肝静脉系统栓堵术、钇-90选择性内照射治疗、联合肝脏分隔和门静脉结扎的分阶段肝切除术等手术诱导肝脏体积增生的术式进行综述和总结.结果 各种诱导肝脏体积增生的术式均能有效诱导肝脏的体积增生,能为剩余肝脏体积过小的患者提供更多的手术机会,但各种术式在创伤程度、增生效率和推广接受程度方面存在不同的差异.结论 各类术式均为术后剩余肝脏体积过小的患者提供了新的希望,有良好的应用前景;但目前各术式间的优劣比较与最佳适应证尚无统一意见,有待进一步研究.
Current status and research progress of surgical-induced liver volume hyperplasia
Objective To review the current status and progress of surgical methods for inducing hepatic volume hyperplasia.Method The procedures inducing liver volume regeneration in clinical practice,including portal vein embolization,liver venous deprivation,Yttrium-90 selective internal radiation therapy,and associating liver partition and portal vein ligation for staged hepatectomy were reviewed and summarized.Results All kinds of surgical methods to induce liver volume hyperplasia could effectively stimulate the increase in liver volume,which could provide more surgical opportunities for patients with too small future liver remnant,but there were differences in the degree of trauma,proliferation efficiency and popularization and acceptance.Conclusions All kinds of operations provide new hope for patients with too little residual liver volume after operation,and have good application scenarios.However,at present,there is no unified opinion on the comparison between the advantages and disadvantages of each operation and the best indication,which needs further study.

livervolume hyperplasiahepatic blood inflow

苏语、吴泓、刘畅

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四川大学华西医院普通外科肝脏外科病房(成都 610041)

四川大学华西医院器官移植中心,肝移植中心(成都 610041)

成都上锦南府医院肝胆胰微创中心(成都 610037)

肝脏 体积增生 入肝血流

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(1)
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