Transumbilical portal vein catheterization

1. Patients who need to infuse chemotherapy with the liver, such as metastatic cancer. Or concurrent hepatic artery catheterization for liver cancer. 2. As an adjuvant treatment for certain diseases. Such as liver abscess, obstructive suppurative capillary cholangitis and so on. Treatment of diseases: liver cancer primary liver cancer Indication 1. Patients who need to infuse chemotherapy with the liver, such as metastatic cancer. Or concurrent hepatic artery catheterization for liver cancer. 2. As an adjuvant treatment for certain diseases. Such as liver abscess, obstructive suppurative capillary cholangitis and so on. Preoperative preparation Liver and procoagulant therapy. Surgical procedure Mid-abdominal incision, incision of skin, subcutaneous tissue and abdominal white line, separated in the peritoneum, find the round ligament of the liver and cut it, visible gray-white fiber cord-like umbilical vein, with saphenous vein stripper or small biliary dilatation The device is gently dilated in the direction of the liver. Do not use violence to prevent damage to the portal vein or through the round ligament of the liver. When there is resistance to disappearance. Exit the dilator backwards, if there is blood spillage, indicating that the occluded umbilical vein has communicated with the portal vein. Insert a plastic tube with a diameter of 2 to 3 mm, and the depth is 2 to 3 cm into the hilum. The cannula is double ligated and an anticoagulant is injected to prevent clotting of the plastic tube. The plastic tube is taken out from the abdominal wall and properly fixed. For example, when the liver cancer can not be removed during laparotomy, the round ligament of the liver can be cut off, and the umbilical vein can be intubated and the hepatic artery cannulated at the same time. Postoperative diet 1, the diet should pay attention to light, mostly with food porridge, noodle soup and other foods that are easy to digest and absorb. 2, can eat more fresh fruits and vegetables to ensure the intake of vitamins. 3, give liquid or semi-liquid food, such as a variety of porridge, rice soup and so on.