CAJ | 학술논문

肝切除术已经成为常规手术，这得益于手术出血控制技术的不断发展。回顾了20年来肝切除术中止血技术的进展和应用。综合得出，充分的术前准备是首要条件，术中的入肝血流阻断、解剖性肝切除、切缝手段、降低中心静脉压以及适时适当的局部应用外用止血药物和材料是肝脏手术中控制出血的关键。
간절제술이경성위상규수술，저득익우수술출혈공제기술적불단발전。회고료20년래간절제술중지혈기술적진전화응용。종합득출，충분적술전준비시수요조건，술중적입간혈류조단、해부성간절제、절봉수단、강저중심정맥압이급괄시괄당적국부응용외용지혈약물화재료시간장수술중공제출혈적관건。
Due to the continuous development of surgical bleeding control technology,partial hepatectomy has been a routine surgery cur-rently.This article reviews the published literature over the past 20 years with particular attention to the progress in bleeding control tech-niques and applications in partial hepatectomy.It is concluded that adequate preparation before operation is the primary measure for minimi-zing blood loss during hepatectomy.Furthermore,hepatic inflow occlusion,anatomical hepatectomy,section and suture method,reducing the central venous pressure,and timely and appropriate external application of topical hemostatic agents and materials are the key skills to control bleeding during liver surgery.