腹腔镜肝切除术中控制出血的研究进展  

Research Progress of Laparoscopic Hepatectomy for Bleeding Control

作　　者：马嘉盛 汪建初[2] MA Jiasheng;WANG Jianchu(Graduate School,Youjiang Medical University for Nationalities,Baise 533000,China;Hepatobiliary Surgery,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China)

机构地区：[1]右江民族医学院研究生学院,广西百色533000 [2]右江民族医学院附属医院肝胆外科,广西百色533000

出　　处：《河南医学研究》2022年第4期765-768,共4页Henan Medical Research

摘　　要：腹腔镜肝切除术作为肝病的外科手术治疗方式,在临床中广泛应用,许多研究已经证实了其安全性及优势。术中出血是决定腹腔镜手术成功与否的关键,而肝的出血管道可根据血液流经情况分为入肝系统及出肝系统两大类,医生通过对其干预达到减少出血的目的。随着手术器械的发展、医生的经验积累及技术的逐步成熟,更多的干预手段应用于腹腔镜肝切除术中,以达到减少术中出血的目的。As a surgical treatment for liver diseases,laparoscopic hepatectomy is widely used in clinic.Many studies have confirmed its safety and advantages.Intraoperative bleeding is the key to the success of laparoscopic surgery,and according to the blood flow,the hepatic bleeding pipeline can be divided into two categories,into the hepatic system and out of the hepatic system.Through the intervention of the two categories,doctors can reduce bleeding.With the development of surgical instruments,the accumulation of doctors’experience and the gradual maturity of technology,more intervention methods are applied to laparoscopic hepatectomy to reduce intraoperative bleeding.

关 键 词：腹腔镜 肝切除 血流阻断 中心静脉压 研究进展 

分 类 号：R657.3[医药卫生—外科学]