CAJ | 학술논문

目的探讨射频凝血器在肝脏切除手术中应用的可行性及优越性。方法回顾性分析2012年1月-2013年3月施肝切除手术的临床效果，所有患者分为射频凝血器组（58例），百克钳组（58例）。对两组患者临床资料对比分析，评价射频凝血器在肝切除术中的优越性。结果射频凝血器组的平均手术时间，出血量等明显少于百克钳组，术后并发症、平均住院时间差异无统计学意义。结论应用射频凝血器进行预处理后行肝切除手术无需阻断肝脏血流情况下可以达到明显减少术中出血及缩短手术时间的效果，使肝切除手术更加安全、快捷。
목적탐토사빈응혈기재간장절제수술중응용적가행성급우월성。방법회고성분석2012년1월-2013년3월시간절제수술적림상효과，소유환자분위사빈응혈기조（58례），백극겸조（58례）。대량조환자림상자료대비분석，평개사빈응혈기재간절제술중적우월성。결과사빈응혈기조적평균수술시간，출혈량등명현소우백극겸조，술후병발증、평균주원시간차이무통계학의의。결론응용사빈응혈기진행예처리후행간절제수술무수조단간장혈류정황하가이체도명현감소술중출혈급축단수술시간적효과，사간절제수술경가안전、쾌첩。
Objective To investigate the feasibility and superiority of radiofrequency device in liver resection. Methods The patients who received liver resection in our hospital since January 2012 were retrospectively analyzed. All patients were divided into radiofrequency liver resection group(58 cases)and bioclamp liver resection group(58 cases). The clinical characteristics of two groups were compared to assess the superiority of radiofrequency device in liver resection. Results With application of radiofrequency pretreatment before the liver resection, the mean operation time and blood loss were signiifcantly less than bioclamp liver resection group. There is no difference in the rate of postoperative complication and hospital stay. Conclusion The application of radiofrequency pretreatment before the liver resection can reduce blood loss,shorten operation time without hepatic blood lfow occlusion,make the liver resection surgery more safe, quick.