TissueLink与钳夹法在肝癌切除术中的应用比较  

Comparison of saline-linked radiofrequency dissecting sealer and clamp crushing method in hepatectomy for hepatocellular carcinoma

作　　者：苏永杰[1] 董家鸿[1] 李海林[1] 揭中芳[1] 夏锋[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

出　　处：《中国现代普通外科进展》2008年第1期7-9,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:了解TissueLink在肝癌切除术中的应用是否较钳夹法对患者更有利。方法:回顾性分析68例应用TissueLink和81例应用钳夹法行肝癌切除术的肝细胞癌患者的资料,比较两组患者手术时间、术中出血量、术前后血清ALT、总胆红素(TBIL)的变化以及术后并发症发生情况。结果:TissueLink组(T组)和钳夹法(C组)的手术时间分别为(281.8±84.40)min和(247.9±91.63)min。术中失血量中位数分别为450mL(100～3900mL)和630mL(80～6550mL),P值均<0.05,差异均有统计学意义。两组术后各时相点ALT和TBIL水平及术后并发症发生率差异无统计学意义。结论:与钳夹法比较,Tis-sueLink行肝癌切除术虽手术时间长,但术中出血少,更具有优势。Objective： To evaluate the use of TissueLink and clamp crushing method during hepatectomy for hepatocellular Carcinoma.Metheds： TissueLink（T group） was used during hepatectomy for 68 hepatocellular carcinoma patients, and clamp crushing method （C group） was used in 81 patients. The clinical data of T group and C group were analyzed retrospectively. The operation time, bleeding, peri-operative serum alanine aminotransferase （ALT）,total bilirubin（TB） and complications were observed. Results： Operation time of C group was shorter than that of T group （247.9 ± 91.63） min vs （322.3 ± 105.06） min, P〈0.05.The amount of bleeding of T group was less than that of C group （100 ～ 3 900） mL vs （80 ～ 6 550） mL, P〈 0.05.Serum ALT and TB and complications of the two groups after operation were with no significance. Conclusion： TissueLink had evident ascendancy in hepatectomy.

关 键 词：肝肿瘤 肝切除术 TissueLink 钳夹法 

分 类 号：R735.7[医药卫生—肿瘤] R730.56[医药卫生—临床医学]