摘要
目的:探讨腹腔镜肝切除术(LH)中如何选择合适的入肝血流阻断方式。方法:将53例行LH术患者分为间断性Pringle法组(A组,n=22)及区域性血流阻断法组(B组,n=31)。比较两组手术时间、术中出血量、术后肝功能指标、术后住院时间、并发症等。结果:两组患者术前一般资料比较差异无统计学意义(P>0.05),B组术中出血量高于A组(P<0.05),术后第1、3、7天A组ALT、AST水平均高于B组(P<0.05),两组术后住院时间及并发症比较差异无统计学意义(P>0.05)。结论 :区域性血流阻断法术中出血量略高于间断性Pringle法,但对肝功能的保护优于间断性Pringle法。
Objective To study how to choice the suitablehepatic inflow vascular occlusion in laparoscopic hepatectomy. Methods A retrospective analysis of 53 cases of laparoscopic hepatectomy, grouping according to the different methods： Group A （22 cases） intermittent Pringle maneuver, Group B （31 cases） selective hepatic inflow occlusion. We compared their operative time, blood loss, postoperative liver function, postoperative hospital stay, complications. Results These preoperative general situation were not statistically significant （P 〉 0.05）, blood loss in Group B more than Group A （P 〈 0.05）. In ALT, AST levels, Group A of 1^st, 3^rd and 7^th postoperative days were higher than Group B. The days of postoperative hospital stay and complications were not statistically significant （P 〉 0.05）. Conclusion Blood loss of the selective hepatic inflow occlusion is slightly higher than intermittent pringle maneuver, but its protection of liver function is better than intermittent Pringle maneuver
出处
《实用医学杂志》
CAS
北大核心
2015年第1期64-67,共4页
The Journal of Practical Medicine
基金
江西省卫生厅科技计划项目(编号:20123053)
关键词
血流阻断
腹腔镜
肝切除
Vascular occlusion
Laparoscopy
Hepatectomy
