Teratoma of the hepatoduodenal ligament diagnosed by CT: report of one case CT诊断肝十二指肠韧带畸胎瘤1例
Objective To summarize the surgical experience of partial hepatectomy with skeletonization of the hepatoduodenal ligament in the treatment of hilar cholangiocarcinoma. 目的总结作者应用肝部分切除联合肝十二指肠骨髂化治疗肝门部胆管癌的临床经验。
Result Hepatoduodenal ligamentum was accidently injured in the course of liver harvesting in 1 case, but caused no damage occurred in transplantation. 结果1例供肝分离时误伤肝十二指肠韧带,但不影响移植。
Methods Thirty specimens of adult cadaveric liver were dissected and observed from hepatoduodenal ligament to hepatic and segmental hilus. 方法选用成人肝脏标本30例,沿肝十二指肠韧带向肝门及肝内解剖,观察肝内外胆管的行径特点及其毗邻关系。
The protective effect on hepatic ischemia/ reperfusion injury by lidocaine injection into hepatoduodenal ligament in rats 肝十二指肠韧带内注射利多卡因对缺血再灌注损伤肝脏的影响
Conclusions Lymph nodes in the hepatoduodenal ligament may be sentinel nodes for ICC lymph node metastasis. 结论肝十二指肠韧带淋巴结可能为ICC的前哨淋巴结。
Partial hepatectomy with skeletonization of the hepatoduodenal ligament for hilar cholangiocarcinoma 肝部分切除联合肝十二指肠韧带骨骼化治疗肝门部胆管癌
Conclusions Hepatectomy with regional lymphadenectomy for hilar cholangiocarcinoma are critical to improve the survival. Skeletonization of the hepatoduodenal ligament should be comprised by any means in the procedure. 结论肝切除术加区域性淋巴结清扫是提高肝门部胆管癌根治性切除率、生存率和改善生活质量的重要手段,骨骼化淋巴清扫应成为操作规范。
In 3 181 abdominal lymph nodes dissected, metastases existed in 312 ( 9.8%). Lymph node metastatic rates of common hepatic artery, celiac trunk and hepatoduodenal ligament were 6.6%, 6.9% and 6.3% respectively. 肝总动脉旁、腹腔动脉旁及肝十二指肠韧带内淋巴结转移度分别为6·6%、6·9%和6·3%。
Results ( Lymph node) metastasis in hepatoduodenal ligament could be detected in all 29 preoperative and 48 postoperative lymph metastatic cases, without "jumping-metastasis". 结果肝十二指肠韧带淋巴结转移出现在所有术前29例以及术后48例淋巴结转移患者中,未发现跳跃式淋巴结转移。
Aggressive treatment of lymph node metastasis in the hepatoduodenal ligament is an important strategy to improve the long-survival of postoperative ICC patients. 对肝十二指肠韧带淋巴结转移的预防和积极治疗,可望提高ICC患者的生存率。