论著·临床研究doi:10.3969/j.issn.1671-8348.2023.08.006Laennec膜解剖在结直肠癌肝转移手术中的应用*段键,何金兰,孟祥宇,曾仲△(昆明医科大学第一附属医院器官移植科/肝胆外二科,昆明650032)[摘要]目的探讨Laennec膜解剖在结直肠癌(CRC)肝转移(CRLM)手术中的运用。方法选取2019年1月至2021年12月CRLM患者20例为研究对象。患者根据肿瘤位置通过Laennec膜游离相应的门,以快速控制需要切除肝脏区域的肝蒂,阻断相应的门,切除病灶。检测术后3d肝功能指标,观察肝功能恢复情况。结果20例CRLM患者均成功以Laennec膜解剖的方式来控制需要切除区域肝脏的肝蒂,达到了在切除病灶的过程中,相应区域手术时相应的区域被阻断的效果。20例患者术后第3天肝功能指标[天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、总胆红素(TBIL)]均接近正常值。结论Laennec膜解剖的运用可有效减轻CRLM患者手术肝脏缺血再灌注后肝功能损伤,促进术后肝功能恢复。[关键词]Laennec膜;结直肠癌;肝转移癌;肝部分切除术;肝功能[中图法分类号]R657.3[文献标识码]A[文章编号]1671-8348(2023)08-1147-04ApplicationofLaennecmembraneanatomyinsurgeryforcolorectalcancerlivermetastase*DUANJian,HEJinlan,MENGXiangyu,ZENGZhong△(DepartmentofOrganTransplantation/SecondDepartmentofHepatobiliarySurgery,FirstAffiliatedHospitalofKunmingMedicalUniversity,Kunming,Yunnan650032,China)[Abstract]ObjectiveToexploretheapplicationoftheLaennecmembraneanatomyintheoperationofcolorectalcancerlivermetastase(CRLM).MethodsTwentypatientswithCRLMfromJanuary2019toDe-cember2021werecollectedastheresearchsubjects.ThecorrespondingportalwasdissociatedthroughtheLaennecmembraneaccordingtothetumorlocationtoquicklycontroltheliverpediclefromtheliverregionneedingtoberemoved,thecorrespondingportalwasblocked,andthelesionwasresected.Theliverfunctionindexesweremeasuredonpostoperative3d.Therecoverysituationofliverfunctionwasobserved.ResultsTwentypatientsallweresuccessfulincontrollingtheliverpedicleintheregionalliverneedingtobeexcisedbytheLaennecmembraneanatomymode,andreachedtheeffectthatthecorrespondingregionwadblockedintheoperationduringthelesionexcisionprocessIntheprocessofexcisionofthelesion,thecorrespondingre-gionwasblockeddur...
