自制铐式可调型肝钳在肝段切除中的应用  

Application of self-made handcuffs liver pincers in liver resection

作　　者：贺房勇[1] 李曙光[1] 张国志[1] 卢伟胜[1] 陈建立[1] 王长友[1] 赵鹏[1] 王大鹏[1] 

机构地区：[1]河北联合大学附属医院普通外科,河北省唐山市063000

出　　处：《中国组织工程研究》2012年第53期10032-10036,共5页Chinese Journal of Tissue Engineering Research

基　　金：河北省2002年省卫生厅科研立项课题(02189)~~

摘　　要：背景:研制自制铐式可调型肝钳以半肝血流阻断及肝局部血流阻断法行半肝、肝段及肝部分切除可减少肝功能损伤及胆瘘的发生。目的:探讨自制铐式可调型肝钳以半肝血流阻断及肝局部血流阻断法行半肝、肝段及肝部分切除对血流变、肝肾功能的影响,评价其手术安全性。方法:对85例半肝、肝段及肝部分切除的患者,应用自制铐式可调型肝钳以半肝血流阻断及肝局部血流阻断法行半肝、肝段及肝部分切除患者31例设为实验组,同期54例行不阻断肝门血流半肝、肝段及肝部分切除,比较术中出血量、术后胆瘘例数以及血流变学、肝肾功能的改变。结果与结论:实验组31例患者术中出血量少、肝切除后无胆瘘、对血流变学、肝肾功能影响小。说明应用自制铐式可调型肝钳以半肝血流阻断及肝局部血流阻断法行半肝、肝段及肝部分切除,术式安全有效。BACKGROUND： Half liver, hepatic segments and partial liver resection can reduce the incidence of liver dysfunction and biliary fistula by half liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers. OBJECTIVE： To explore operation safety and influence of half liver, hepatic segments, partial liver resection on blood-flowing-change, function of liver and kidney by half liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers. METHODS： Eighty-five patients with half liver, hepatic segments, partial liver resection were selected, 31 patients that treated by liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers were considered as the experimental group; 54 patients in the same period were treated by liver amputation with out broken liver-door-blood way. The bleeding, biliary fistula, blood rheology and function of liver and kidney were compared after operation. RESULTS AND CONCLUSION： The 31 patients in the experimental had less bleeding, no biliary fistula and little influence in blood rheology and function of liver and kidney. It demonstrates that the half liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers for half liver, hepatic segments, partial liver resection are safe and effective.

关 键 词：自制铐式肝钳 半肝血流阻断法肝段切除 不阻断肝门血流肝段切除 出血 胆瘘 血流变学 肝肾功能 肝段切除 

分 类 号：R318[医药卫生—生物医学工程]