"改良黄氏方法"在腹腔镜肝切除第一肝门血流阻断中的应用  

Application of modified Huang's method for hepatic inflow occlusion in laparoscopic hepatectomy

作　　者：张传海 余继海 马金良 周毅 王一帆 ZHANG Chuan-hai;YU Ji-hai;MA Jin-liang;ZHOU Yi;WANG Yi-fan(Department of General Surgery,the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,University of Science and Technology of China,Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)普外科,合肥230001

出　　处：《肝胆外科杂志》2021年第5期345-349,共5页Journal of Hepatobiliary Surgery

摘　　要：目的Pringle法是用于腹腔镜肝切除(LH)术的标准肝脏入肝血流阻断技术,本研究旨在介绍一种改良的黄氏方法来进行腹腔镜下体内Pringle法.方法我们收集并分析了本中心连续接受LH的患者的数据,以验证这种新的技术的有效性.2020年1月至2021年4月期间,纳入了27名患者,分析其术前、术中及术后相关数据,包括患者一些基本资料、手术时间、术中肝门阻断时间、输血率、术后平均住院天数等.结果平均手术时间为(205.44±65.79)min,平均肝门阻断时间为(23.44±13.6)5 min,术后平均住院天数为(8±2.99)d;在我们的研究中没有患者需要中转开腹手术,没有患者死亡.结论"改良黄氏方法"是一种简单、安全、可靠的腹腔镜下体内肝门血流阻断方法,围手术期结果良好,中转风险低.Objective Pringle’s maneuver is the standard hepatic inflow occlusion technique for laparoscopic hepatectomy(LH).This study aimed to introduce a modified Huang’s method to perform intracorporeal laparoscopic Pringle’s maneuver.Methods We collected and analyzed the data of patients who consecutively underwent LH in our center to validate this new surgery technique.Between January,2020 and April,2021,27 patients were included.Data of pre-operation,operation and post-operation were analyzed,including some demographic data,operative time,hepatic hilum occlusion time,transfusion rate,and postoperative hospitalization days,etc.Results The average operative time was 205.44±65.79 min.The mean hepatic inflow occlusion time was 23.44±13.65 min.The average postoperative hospitalization days were 8±2.99 days.No patient in our series needed conversion to laparotomy.There was no mortality in our study.Conclusion The modified Huang’s method is a simple,safe,and reliable way for LH that is associated with favorable perioperative outcomes and low'risk of conversion.

关 键 词：腹腔镜肝切除 PRINGLE法 血流阻断 改良黄氏方法 

分 类 号：R575[医药卫生—消化系统]