Glisson蒂横断法在精准肝切除术中的应用  

Application of Glissonean Pedicle Transection Method in Precise Hepatectomy

作　　者：陈虎[1] 祖连平[1] 王瑞[1] 

机构地区：[1]江苏省泗洪县人民医院,江苏泗洪223900

出　　处：《中国医药指南》2015年第34期19-20,共2页Guide of China Medicine

摘　　要：目的探讨Glisson蒂横断法在精准肝切除术中的应用经验。方法回顾性分析我科2012年6月至2014年9月应用Glisson蒂横断法行肝切除术的15例患者临床资料,其中肝胆管结石2例,肝血管瘤4例,肝癌9例。结果本组所有患者手术均成功实施,平均手术时间(3.1±0.9)h,术中平均出血量为(400±275)m L,均无输血病例。术后均顺利行相应肝蒂结扎,均无肝功能衰竭和严重手术并发症发生。结论 Glisson蒂横断式肝切除术能够减少术中出血量,缩短手术时间,拥有术后肝功能损害及并发症发生率低,降低肿瘤肝内扩散等优点,在精准肝切除术中操作简单、快速、安全。Objective To discuss the application experience of Glissonean pedicle transection method in precise hepatectomy. Methods The clinical data of 15 patients that had bepatectomy with Glissonean pediele transection method from June 2012 to September 2014 was retrospectively analyzed, including 2 cases of bile duct stones, 4 cases of liver hemangioma, 9 cases of liver cancer. Results All patients were operated successfully. Mean operation time was （3.1 ± 0.9） h, average intraoperative blood loss was （400 ± 275）mL, and there was no blood transfusion cases. After the surgery corresponding pediele ligation was completed, and liver failure and no serious complications occurred. Conclusion Glissonean pedicle transection method in precise hepatectomy can reduce blood loss, shorten operative time, with low postoperative liver dysfunction rate and low incidence of complications, decreased proliferation of liver cancer, which is simple, fast and safe to operate.

关 键 词：Glisson蒂横断式肝切除术 精准肝切除 手术时间 术中出血量 

分 类 号：R657.3[医药卫生—外科学]