腹腔镜肝切除术中入肝血流阻断方式的选择  

Comparison of intermittent Pringle maneuver and selective hepatic inflow control in laparoscopic hepatectomy

作　　者：唐暨捷 袁国辉[1] 黄明文[1] 刘天德[1] 罗地来[1] 邹书兵[1] 

机构地区：[1]南昌大学第二附属医院肝胆外科一区,330006

出　　处：《实用医学杂志》2015年第1期64-67,共4页The Journal of Practical Medicine

基　　金：江西省卫生厅科技计划项目(编号:20123053)

摘　　要：目的:探讨腹腔镜肝切除术(LH)中如何选择合适的入肝血流阻断方式。方法:将53例行LH术患者分为间断性Pringle法组(A组,n=22)及区域性血流阻断法组(B组,n=31)。比较两组手术时间、术中出血量、术后肝功能指标、术后住院时间、并发症等。结果:两组患者术前一般资料比较差异无统计学意义(P>0.05),B组术中出血量高于A组(P<0.05),术后第1、3、7天A组ALT、AST水平均高于B组(P<0.05),两组术后住院时间及并发症比较差异无统计学意义(P>0.05)。结论 :区域性血流阻断法术中出血量略高于间断性Pringle法,但对肝功能的保护优于间断性Pringle法。Objective To study how to choice the suitablehepatic inflow vascular occlusion in laparoscopic hepatectomy. Methods A retrospective analysis of 53 cases of laparoscopic hepatectomy, grouping according to the different methods： Group A （22 cases） intermittent Pringle maneuver, Group B （31 cases） selective hepatic inflow occlusion. We compared their operative time, blood loss, postoperative liver function, postoperative hospital stay, complications. Results These preoperative general situation were not statistically significant （P 〉 0.05）, blood loss in Group B more than Group A （P 〈 0.05）. In ALT, AST levels, Group A of 1^st, 3^rd and 7^th postoperative days were higher than Group B. The days of postoperative hospital stay and complications were not statistically significant （P 〉 0.05）. Conclusion Blood loss of the selective hepatic inflow occlusion is slightly higher than intermittent pringle maneuver, but its protection of liver function is better than intermittent Pringle maneuver

关 键 词：血流阻断 腹腔镜 肝切除 

分 类 号：R657.3[医药卫生—外科学]