基于Glisson蒂横断技术的精准肝叶切除临床应用  

Clinical Application Effect of Precise Hepatectomy Using Glisson Pedicle Transection Method

作　　者：向鑫[1] 刘贵平[1] 赖良[1] 徐波[1] 

机构地区：[1]内江市第一人民医院肝胆外科,四川内江641000

出　　处：《中外医疗》2016年第5期44-46,共3页China & Foreign Medical Treatment

摘　　要：目的 探讨基于Glisson蒂横断技术的精准肝叶切除在原发性肝癌患者手术中的运用。方法 回顾性分析该院2010年1月-2015年1月53例采用Glisson蒂横断精准肝叶切除的肝癌患者资料。结果 左外叶切除（Ⅱ＋Ⅲ）8例,左半肝切除（Ⅱ＋Ⅲ＋Ⅳ）14例,右前叶切除（V＋Ⅷ）4例,右后叶切除（Ⅵ＋Ⅶ）6例,右半肝切除（Ⅴ＋Ⅵ＋Ⅶ＋Ⅷ）21例,手术时间210±31.5（110～370）min,失血量300±42.6（100～500）m L,术后并发胆瘘2例,腹腔出血2例,经保守治疗后治愈。结论 Glisson蒂横断技术的精准肝叶切除是减少肝癌患者手术并发症,提高手术治疗效果的一种有效方法。Objective To investigate the clinical application effect of precise hepatectomy using Glisson pedicle transection method in the surgery for primary liver cancer. Methods The clinical data of 53 patients who underwent the precise hepatectomy using Glisson pedicle transection method in our hospital between January 2010 and January 2015 were retrospectively analyzed. Results Of all the patients, there were 8 cases with hepatic left lateral lobectomy（Couinaud Ⅱ＋Ⅲ）, 14 cases with left hemihepatectomy（CouinaudⅡ＋Ⅲ＋Ⅳ）, 4 cases with right anterior hepatectomy（Couinaud V＋Ⅷ）, 6 cases with right posterior hepatectomy（Couinaud VI＋Ⅶ）, 21 cases with right hemihepatectomy（Couinaud V＋VI＋Ⅶ＋Ⅷ）. The average operative time was [（210±31.5）（110~370）]min. The mean blood loss was [（300±42.6）（100~500）] m L. Two patients suffered from biliary fistula, and other two patients suffered from abdominal bleeding, but all were cured by conservative treatment. Conclusion Precise hepatectomy using Glisson pedicle transection method is an effective treatment for reducing the incidence of surgical complications and improving the therapeutic effect in patients with liver cancer surgery.

关 键 词：Glisson蒂 精准肝切除 肝癌 

分 类 号：R5[医药卫生—内科学]