Yuan Miaoxian,Yin Qiang,Liu Chaoyang.Experience of mesohepatectomy in the treatment of hepatic tumors in children[J].Journal of Clinical Pediatric Surgery,,18():859-863.[doi:10.3969/j.issn.1671-6353.2019.10.012]
Experience of mesohepatectomy in the treatment of hepatic tumors in children
- Keywords:
- Liver Neoplasms; Central Hepatic Resection; Treatment Outcome; Child
- CLC:
- R726.1;R73;R735.7
- Abstract:
- Objective To explore the safety and efficacy of mesohepatectomy for heaptic tumors in children.Methods The clinical data were analyzed retrospectively for 4 children of heaptic tumors from June 2017 to May 2019.There were 2 boys and 2 girls with a median age of 11.25(4-24) months.The examinations included computed tomography (CT),magnetic resonance imaging (MRI) and three-dimensional hepatic imaging.Results All patients underwent mesohepatectomy.The operative durations were 300,240,250 and 240 min; volumes of intraoperative blood loss 600,150,400 and 250 ml; volumes of condensed erythrocyte transfusion 320,240,400 and 320 ml; volumes of transfused plasma 200,150,150 and 150 ml respectively.The postoperative pathological diagnoses were mesenchymal hamartoma,epithelial-fetal type hepatoblastoma,mixed epithelian-mesenchymal hepatoblastoma and fetal type hepatoblastoma. One case of postoperative bile leakage was cured after a thorough irrigation.No perioperative mortality occurred.During a follow-up time period of 5-18 months,there was no recurrence of tumor.Conclusion Precise anatomical hepatectomy may be achieved by accurate evaluations,proficient skills of Glissonean transection and precise defining cutting surface.Mesohepatectomy is both safe and effective in children.
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Memo
收稿日期:2019-03-19。
基金项目:湖南省卫生健康委员会技术创新项目（编号：湘卫医政医管处便函[2018]187号）
通讯作者:尹强,Email:qiangyin@hotmall.com