TissueLink电刀与CUSA刀在肝细胞肝癌切除术中的应用比较  被引量:5

comparison of saline-linked radiofrequency dissecting sealer(TissueLink) and cut ultrasound aspiration(CUSA) in hepatectomy for hepatocellular carcinoma

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作  者:苏永杰[1] 夏锋[1] 王曙光[1] 董家鸿[1] 

机构地区:[1]第三军医大学西南医院全军肝胆外科研究所,中国人民解放军西南肝胆外科医院,重庆400038

出  处:《实用临床医药杂志》2007年第6期19-22,共4页Journal of Clinical Medicine in Practice

摘  要:目的比较TissueLink电刀与CUSA刀在肝细胞肝癌切除术中的应用。方法回顾性总结68例应用TissueLink电刀和78例应用CUSA刀行肝癌切除术的肝细胞肝癌患者的资料,观察2组患者手术时间、手术出血量、术中输红细胞量、围手术期总输红细胞量,术后血清谷丙转氨酶、总胆红素的变化,并加以比较。结果YissueLink电刀组(T组)和CUSA刀组(C组)的手术时间分别为(281.8±84.40)min和(322.3±105.06)min;术中失血量中位数分别为450mL(100~3900)mL和800mL(100-5400)mL;2组术中输红细胞悬液量的中位数为0mL(0-2400)mL和100mL(0-2700)mL;围手术期总的输红细胞量的中位数为400mL(0~3300)mL和500mL(0~3500)mL;以上观察指标TissueLink组均明显少于CUSA组,差异具有统计学意义。TissueLink电刀组术后第3天、第5天的血清总胆红素低于CUSA刀组,差异具有统计学意义。结论与CUSA刀比较,TissueLink电刀行肝切除术,术中出血量少,手术时间短,术后肝功能损害程度轻,是一种比较满意的方法。Objective To evaluate the value of TissueLink and CUSA in hepatectomy for hepatocellular carcinoma. Methods TissueLink was used in hepatectomy for 68 hepatocellular carcinoma patients (TissueLink group, T group); whereas, CUSA was used in 78 patients (CUSA group, C group). The clinical data of T group and C group were retrospectively analyzed. The operation time, the volume of hemorrhage, intraoperative blood transfusion and post-operative blood transfusion, post-operative serum alanine aminotransferase(ALT) and total bilirubin (TB) were observed and compared. Results Operation time was significantly shortened in T group than in C group [(281.8 ± 84.40) min vs (322.3 ± 105.06) min, (P〈0.05)]. The amount of bleeding volume was significantly lower in T group than that in C group [median 450 mL(100-3 900) mL vs 800 mL(100-5 400) mL, (P〈0.01) ]. The amount of intraoperative and peri-operative blood transfusion were significantly lower in T group than in those in C group, the medians being [0 mL (0-2 400) mL vs 100 mL(0-2 700) mL, (P〈0.05) ] and 400 mL(0-3 300) mL vs 500 mL(0 -3 500) mL, (P〈0.01), respectively. On the 3rd and 5th day of operation, serum total bilirubin levels were significantly lower in T group than that in C group. Conclusions TissueLink is more favorable than CUSA, for it reduces operation time and the volume of intraoperative bleeding and blood transfusion, also it causes less post-operative hepaticimpairment.

关 键 词:肝切除 TissueLink电刀 CUSA刀 肝细胞肝癌 

分 类 号:R735.7[医药卫生—肿瘤]

 

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