Habib 4X双极射频在腹腔镜肝切除术中的应用  

Application of laparoscopic Habib 4X bipolar radiofrequency device in assisting bloodless laparoscopic liver resection

作　　者：王爱东[1] 王朝荣[2] 蔡柳新[1] 余力[3] 陈志红[4] 张法标[1] 胡益挺[1] 方哲平[1] 季一鸣[1] 

机构地区：[1]浙江省台州医院肝胆外科,浙江台州317000 [2]浙江省台州医院急诊科,浙江台州317000 [3]浙江省台州医院超声科,浙江台州317000 [4]浙江省台州医院服务中心,浙江台州317000

出　　处：《肝胆胰外科杂志》2012年第4期267-270,共4页Journal of Hepatopancreatobiliary Surgery

基　　金：浙江省卫生厅基金资助项目(2011KYA159)

摘　　要：目的本研究应用Habib 4X双极射频辅助腹腔镜切肝，以评价其减少术中出血表现及术后并发症情况。方法回顾性分析2009年9月至2012年4月期间，我院30例Habib 4X射频辅助切肝病例的临床资料。结果30例中，1例因术中瘤体破溃中转开腹手术，29例完成腹腔镜下手术。其中左肝外叶切除12例，左半肝切除1例，第V段或第VI段切除8例，V VI段联合切除2例，肝缘病灶锲型切除6例。切肝时间10-68min，中位切肝时间22min；出血量8-370mL，平均（145±75）mL；术后住院时间（3～12）d，平均（7．5±2．8）d。无术后出血、胆漏或感染等并发症，肝癌病例术后未见切缘复发。结论应用Habib 4X射频辅助腹腔镜切肝，无需肝门解剖和阻断，可提高切肝速度，减少术中失血，术后恢复快，不增加术后并发症。由于射频本身的治疗作用，肿瘤性病灶切除后可增加切缘的安全性。Objective To evaluate the applied value of laparoscopic Habib 4X, a new bipolar RF device in assisting laparoscopic bloodless liver resection. Methods Thirty patients undergoing laparoscopic liver resection utilizing laparoscopic Habib 4X during the period of September 2009 to April 2012 were analyzed retrospectively. Results One patient converted to open operation due to the rupture of carcinoma during the operations, twenty-nine patients successfully received laparoscopic liver resection. Before liver parenchyma resection, the resection plane was coagulated using Habib 4X. Procedures performed included twelve left lateral segmentectomy, one left hepatectomy, eight Ⅴ or Ⅵ segmentectomy, two Ⅴ and Ⅵ bisegmentectomy and six wedge resections. Time required for coagulation and resection was 10-68 min, the median time was 22 min; mean intraoperative blood loss was 145 ± 75 mL （range 8 - 370 mL）; Mean hospital ization duration was 7.5±2.8 d （range 3-12 d）. No patient developed postoperative bleeding, bile leakage or liver abscess, and no local recurrence of liver cancer. Conclusion Habib 4X is an optional device for assisting laparoscopic liver resections with minimal blood loss and low morbidity and no local recurrence.

关 键 词：腹腔镜肝切除 Habib 4X 失血量 手术时间 

分 类 号：R657.3[医药卫生—外科学]