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[目的]探讨右前叶肝脏(亚)段切除的手术方法。[方法]根据前期影像资料分析将右前叶分为两个部分:腹侧段(S8v+S5)和背侧段(S8d)。回顾性分析2009年2月至10月根据此分段方法成功实施单独及联合其他部位的右前叶肝脏亚段切除术9例的临床资料。[结果]本组患者术后均恢复良好,无胆瘘、出血、腹水等并发症发生,术中无输血。标本切缘均为阴性。[结论]根据肝内门静脉区域分布将右前叶肝脏分为腹侧段和背侧段符合肝脏的解剖生理,在某些情况下可实施精确的右前叶肝脏(亚)段切除,值得推广。
[Objective] To investigate the surgical method of resection of the right anterior lobe (sub) segment. [Methods] The right anterior leaflet was divided into two parts according to the previous image data analysis: ventral segment (S8v + S5) and dorsal segment (S8d). The clinical data of 9 cases of right anterior hepatic subhepatectomy alone and in combination with other sites were retrospectively analyzed from February to October in 2009. [Results] The patients in this group recovered well after operation. No complications such as biliary fistula, hemorrhage and ascites occurred. No blood transfusion occurred during operation. All specimens were negative margin. [Conclusion] Dividing the right anterior lobe liver into ventral segments and dorsal segments accords with the anatomy and physiology of the liver according to the distribution of intrahepatic portal venous regions. In some cases, precise right anterior lobe (sub) segment resection is worthy of promotion.