区域性入肝血流阻断在腹腔镜肝切除术中的应用  

Regional hepatic vascular inflow occlusion in laparoscopic hepatectomies

作　　者：黄玉斌[1] 卢榜裕[1] 蔡小勇[1] 靳小建[1] 晏益核[1] 李建军[1] 孙志刚[1] 

机构地区：[1]广西医科大学第一附属医院微创外科中心,南宁530021

出　　处：《中华肝胆外科杂志》2013年第1期33-35,共3页Chinese Journal of Hepatobiliary Surgery

基　　金：广西卫生厅科研项目（桂卫Z2009100）

摘　　要：目的 探讨区域性入肝血流阻断技术在腹腔镜肝切除术中应用的安全性和可行性.方法 对35例肝脏病变患者施行腹腔镜下区域性入肝血流阻断后肝切除术,年龄平均（46.1±3.5）岁.采用锐性十钝性相结合解剖法显露门静脉、肝动脉及其分支,完成区域性入肝血流阻断.结果 35例均成功完成区域性入肝血流阻断后行肝切除术.平均手术时间（60.6±15.2）min,平均术中出血量（230.8±56.5）ml,平均术后住院（6.6±1.3）d.结论 区域性入肝血流阻断技术在腹腔镜肝切除术中应用是安全可行的.Objective To explore the feasibility and safety of regional hepatic vascular inflow occlusion in laparoscopic hepatectomies.Methods 35 patients with liver lesions received laparoscopic hepatectomy using regional hepatic vascular inflow occlusion.The mean age was 46.1 ± 3.5 years.The relevant branches of portal vein and hepatic artery were isolated with sharp and blunt dissections and were then occluded regionally.Results Laparoscopic regional hepatic vascular inflow occlusion and hepatectomies were successfully carried out in 35 patients.The mean operative time was 60.6±15.2 minutes.The mean blood loss was 230.8±56.5 ml.The mean postoperative hospital stay was 6.6±1.3 days.Conclusions Regional hepatic vascular inflow occlusion is a safe and feasible method in laparoscopic hepatectomies.

关 键 词：肝切除术 腹腔镜 入肝血流 阻断 

分 类 号：R735.7[医药卫生—肿瘤]