摘要
目的探讨两种入肝血流阻断方法在腹腔镜肝切除术中的应用价值。方法选择我院2015年1月至2017年1月收治的33例行腹腔镜肝切除术患者为研究对象,根据术中血流阻断方法的不同分为A组(17例)与B组(16例)。A组采用全部入肝血流阻断法,B组采用选择性入肝血流阻断法,观察比较两组患者的手术情况及术后肝功能指标。结果两组患者的手术时间、术中出血量无统计学差异(P>0.05),B组的术中输血量显著高于A组(P<0.05)。B组患者术后1 d、3 d的肝功能指标均显著优于A组,差异有统计学意义(P<0.05)。两组患者均未发生严重并发症,无死亡患者。结论全部入肝血流阻断与选择性入肝血流阻断在腹腔镜肝切除术中均有可行性,但选择性入肝血流阻断可保护肝功能,利于术后恢复。
Objective To explore the application value of two kinds of hepatic inflow occlusion methods in laparoscopic hepatectomy. Methods 33 cases of patients with laparoscopic hepatectomy admitted to our hospital from January 2015 to January 2017 were selected as research objects. According to the hepatic inflow occlusion methods, all cases were divided into group A and group B. 17 cases of group A received total hepatic inflow occlusion, while 16 cases of group B received selective hepatic inflow occlusion. The operation condition and postoperative liver function indicators were observed and compared between two groups. Results No statistical difference was found between two groups in the operation time or intraoperative blood loss （P 〉0.05）, while the intraoperative blood transfusion volume of group B was significantly more than that of group A （P 〈0.05）. 1 day and 3 days after surgery, the liver function indicators of group B were significantly better than those of group A （P 〈0.05）. No severe complication or death case was found in both groups. Conclusions Both total hepatic inflow occlusion and selective hepatic inflow occlusion are feasible in laparoscopic hepatectomy. However, selective hepatic inflow occlusion can protect the liver function, which is beneficial to postoperative recovery.
出处
《临床医学工程》
2017年第10期1351-1352,共2页
Clinical Medicine & Engineering
关键词
肝切除术
腹腔镜
入肝血流阻断
肝功能
Hepatectomy
Laparoscope
Hepatic inflow occlusion
Liver function
