解剖性肝段切除  

Anatomical liver resection

作　　者：徐道峰[1] 王小华[1] 何晓[1] 应勇[1] 王小农[1] 

机构地区：[1]赣南医学院第一附属医院肝胆外科,赣州341000

出　　处：《肝胆外科杂志》2013年第5期364-366,共3页Journal of Hepatobiliary Surgery

摘　　要：目的 探讨解剖性肝段切除的方法和应用价值.方法 回顾性分析2010年1月～2013年1月近3年我科采用不同手术方式实施肝切除的差别.其中解剖性肝段切除组15例、Pringle组25例,比较两种方法对术中失血量、术后肝功能及康复时间等指标的影响.结果 解剖性肝段切除组失血量较Pringle组显著减少（P＜0.05）,解剖性肝段切除组术后肝功能恢复快、康复时间短,差异有统计学意义（P＜0.05）.结论 解剖性肝段切除较传统的Pringle肝门阻断下切肝方法有明显的优越性.Objective To investigate the anatomical liver resection method and application value.Methods A retrospective analysis from January 2010 to January 2011 for nearly three years Ⅰ division with different surgery method for the difference of liver resection.The anatomical liver resection group 15 cases,Pringle group of 25 patients,compare two methods of intraoperative blood loss,postoperative liver function and indexes of recovery time.Results Anatomical liver resection group were significantly reduced blood loss as Pringle group （P ＜ 0.05）,anatomical liver resection group were quicker recovery of liver function,short recovery time,the difference was statistically significant （P ＜ 0.05）.Conclusion Compared to the traditional first liver door blocking method of cutting technology,anatomical liver resection has obvious superiority.

关 键 词：肝段切除 肝血流阻断 肝段解剖 

分 类 号：R575[医药卫生—消化系统]