腹腔镜下间歇完全阻断与区域部分阻断在肝肿瘤术中的效果比较  

Comparison of the effects of laparoscopic intermittent complete blockade and regional partial blockade in liver tumor resection surgery

作　　者：邢坚聪 夏敏棋 XING Jiancong;XIA Minqi(Lishui Central Hospital,Zhejiang 323000,China)

机构地区：[1]浙江省丽水市中心医院,丽水323000 [2]浙江省丽水市人民医院

出　　处：《浙江创伤外科》2024年第11期2006-2009,共4页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨腹腔镜下肝肿瘤切除术中行间歇完全阻断与区域部分阻断的效果及安全性。方法选取2022年6月至2023年6月收治的72例行腹腔镜肝肿瘤切除术的患者,以入肝血流阻断方式进行分组,对照组36例行间歇完全阻断,观察组36例行区域部分阻断,对两组围术期指标(手术时长、术中出血量、阻断时间、及住院时间)、肝功能指标(ALT、AST、TBIL、ALB)、术后并发症发生率进行比较。结果两组手术时长、阻断时间、住院时间相比,观察组更短(P<0.05),两组术中出血量比较,观察组更少(P<0.05);术前,组间ALT、AST、TBIL、ALB各指标相比,无显著差异(P>0.05),术后3 d时,观察组上述肝功能指标水平更高(P<0.05);两组并发症发生率相比,观察组5.56%更低(P<0.05)。结论区域部分阻断在腹腔镜下肝肿瘤切除术中对出血控制效果更好,术后肝功能改善更好,并发症发生风险较低,值得应用。Objective To investigate the efficacy and safety of intermittent complete blockade and regional partial blockade in laparoscopic liver tumor resection.Methods 72 patients who underwent laparoscopic liver tumor resection from June 2022 to June 2023 were selected and divided into two groups using hepatic blood flow obstruction.The control group consisted of 36 patients who underwent intermittent complete obstruction,while the observation group consisted of 36 patients who underwent regional partial obstruction.The perioperative indicators(surgical duration,intraoperative blood loss,obstruction time,and hospital stay),liver function indicators(ALT,AST,TBIL,ALB),and incidence of postoperative complications were compared between the two groups.Results The observation group had shorter surgical duration,blocking time,and hospitalization time(P<0.05),and the observation group had less intraoperative bleeding(P<0.05).Before surgery,there were no significant differences in ALT,AST,TBIL,and ALB indicators between the groups(P>0.05).On postoperative 3 day,the observation group had higher levels of the above liver function indicators(P<0.05).The incidence of complications in the observation group(5.56%)was lower than that in the control group(P<0.05).Conclusion Regional partial blockade is more effective in controlling bleeding,improving postoperative liver function,and reducing the risk of complications during laparoscopic liver tumor resection.It is worth applying.

关 键 词：腹腔镜肝肿瘤切除术 间隙完全阻断 区域部分阻断 效果 

分 类 号：R735.7[医药卫生—肿瘤]