选择性保留健侧肝动脉血流的入肝血流阻断技术在腹腔镜肝切除术中的应用  

Application of Selective Hepatic Vascular Occlusion to Laparoscopic Hepatectomy

作　　者：蔡柳新[1] 方哲平[1] 李剑锋[1] 杜学峰[1] 陈斌[1] 蔡秀军[2] 

机构地区：[1]温州医学院附属台州医院肝胆外科,临海317000 [2]浙江大学附属邵逸夫医院普外科,杭州310016

出　　处：《中国微创外科杂志》2008年第5期385-388,共4页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的评价选择性保留健侧肝动脉血流的入肝血流阻断技术在腹腔镜肝切除术中的应用价值。方法回顾性分析11例腹腔镜肝切除时采用选择性保留健侧肝动脉血流的入肝血流阻断技术(甲组)及10例腹腔镜肝切除时采用全肝入肝血流阻断技术(乙组)病人资料,比较2组术中出血量、手术时间、入肝血流阻断时间、术后住院时间、术后丙氨酸转氨酶(ALT)升高幅度及恢复正常时间。结果术后ALT升高幅度:甲组(8.16%±7.54%)<乙组(19.72%±13.20%)(t=-2.494,P=0.022);术后ALT恢复正常时间:甲组[(7.0±2.2)d]<乙组[(9.9±1.4)d](t=-3.560,P=0.002)。术中出血量、手术时间、入肝血流阻断时间、术后住院时间差异无显著性(P>0.05)。结论腹腔镜肝切除时选择性保留健侧肝动脉血流的入肝血流阻断技术优于全肝入肝血流阻断技术,有推广价值。Objective To evaluate the clinical value of selective hepatic vascular occlusion in laparoscopic hepatectomy(LH).Methods Data of 11 cases of LH were analyzed retrospectively(Group A).During the operation,the hepatic vessels were occluded selectively.Data of 10 cases of LH with complete occlusion of hepatic inflow were used as a control(group B).The intraoperative blood loss,operation time,hepatic inflow occlusion time,postoperative hospital stay,level of ALT increase,and recovery time of ALT were recorded a...

关 键 词：腹腔镜肝切除 选择性入肝血流阻断 全肝入肝血流阻断 腹腔镜多功能手术解剖器 

分 类 号：R657.3[医药卫生—外科学]