中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2013年
1期
33-35
,共3页
黄玉斌%卢榜裕%蔡小勇%靳小建%晏益核%李建军%孙志刚
黃玉斌%盧榜裕%蔡小勇%靳小建%晏益覈%李建軍%孫誌剛
황옥빈%로방유%채소용%근소건%안익핵%리건군%손지강
肝切除术%腹腔镜%入肝血流%阻断
肝切除術%腹腔鏡%入肝血流%阻斷
간절제술%복강경%입간혈류%조단
Hepatectomy%Laparoscopic%Hepatic blood inflow%Occlusion
目的 探讨区域性入肝血流阻断技术在腹腔镜肝切除术中应用的安全性和可行性.方法 对35例肝脏病变患者施行腹腔镜下区域性入肝血流阻断后肝切除术,年龄平均(46.1±3.5)岁.采用锐性十钝性相结合解剖法显露门静脉、肝动脉及其分支,完成区域性入肝血流阻断.结果 35例均成功完成区域性入肝血流阻断后行肝切除术.平均手术时间(60.6±15.2)min,平均术中出血量(230.8±56.5)ml,平均术后住院(6.6±1.3)d.结论 区域性入肝血流阻断技术在腹腔镜肝切除术中应用是安全可行的.
目的 探討區域性入肝血流阻斷技術在腹腔鏡肝切除術中應用的安全性和可行性.方法 對35例肝髒病變患者施行腹腔鏡下區域性入肝血流阻斷後肝切除術,年齡平均(46.1±3.5)歲.採用銳性十鈍性相結閤解剖法顯露門靜脈、肝動脈及其分支,完成區域性入肝血流阻斷.結果 35例均成功完成區域性入肝血流阻斷後行肝切除術.平均手術時間(60.6±15.2)min,平均術中齣血量(230.8±56.5)ml,平均術後住院(6.6±1.3)d.結論 區域性入肝血流阻斷技術在腹腔鏡肝切除術中應用是安全可行的.
목적 탐토구역성입간혈류조단기술재복강경간절제술중응용적안전성화가행성.방법 대35례간장병변환자시행복강경하구역성입간혈류조단후간절제술,년령평균(46.1±3.5)세.채용예성십둔성상결합해부법현로문정맥、간동맥급기분지,완성구역성입간혈류조단.결과 35례균성공완성구역성입간혈류조단후행간절제술.평균수술시간(60.6±15.2)min,평균술중출혈량(230.8±56.5)ml,평균술후주원(6.6±1.3)d.결론 구역성입간혈류조단기술재복강경간절제술중응용시안전가행적.
Objective To explore the feasibility and safety of regional hepatic vascular inflow occlusion in laparoscopic hepatectomies.Methods 35 patients with liver lesions received laparoscopic hepatectomy using regional hepatic vascular inflow occlusion.The mean age was 46.1 ± 3.5 years.The relevant branches of portal vein and hepatic artery were isolated with sharp and blunt dissections and were then occluded regionally.Results Laparoscopic regional hepatic vascular inflow occlusion and hepatectomies were successfully carried out in 35 patients.The mean operative time was 60.6±15.2 minutes.The mean blood loss was 230.8±56.5 ml.The mean postoperative hospital stay was 6.6±1.3 days.Conclusions Regional hepatic vascular inflow occlusion is a safe and feasible method in laparoscopic hepatectomies.
