中国普通外科杂志2013，Vol.22Issue(1)：10-13,4.DOI:10.7659/j.issn.1005-6947.2013.01.004
前入路绕肝提拉法半肝切除在肝硬化患者中的应用
Hemihepatectomy using anterior approach with liver hanging maneuver in patients with liver cirrhosis
董志涛 1罗昆仑 1余锋 1方征 1刘洪 1李界明1
作者信息
- 1. 解放军第一○一医院肝胆外科,江苏无锡214044
- 折叠
摘要
Abstract
Objective: To investigate the safety and feasibility of hemihepatectomy using anterior approach with liver hanging maneuver in patients with liver cirrhosis.
Methods: From January 2008 to June 2011,45 patients with liver cirrhosis scheduled for hemihepatectomy were selected and randomly designated either to using anterior approach with liver hanging maneuver (anterior approach group, 22 cases) or conventional approach (conventional group, 23 cases). Comparisons were conducted between the two groups in respect to the operative time, intraoperative blood loss, number of blood transfusion required, length of hospital stay and complications as well as the perioperative liver function parameters. Results: Operations were successfully performed in all patients of the two groups. In anterior approach group, 17 cases underwent right hepatectomy, 5 cases underwent left hepatectomy and the retrohepatic tunnel in all of them was created successfully. In conventional group, 19 cases underwent right hepatectomy and 4 cases underwent left hepatectomy. Compared with conventional group, anterior approach group had reduced intraoperative blood loss and number of blood transfusion required, shortened operative time, fewer postoperative complications, faster recovery of postoperative alanine aminotranferease (ALT) and aspartate aminotransferase (AST) levels (all P<0.05). No significant differences were seen in the length of hospital stay and change of postoperative total bilirubin (TBIL) level between the two groups (all P>0.05). Conclusion: Hemihepatectomy using anterior approach with liver hanging maneuver in patients with liver cirrhosis is safe and feasible, because it can reduce the intraoperative blood loss and operative time and accelerate liver function recovery. 关键词
肝切除术/方法/肝硬化/绕肝提拉法Key words
Hepatectomy/methods/ Liver Cirrhosis/ Liver Hanging Maneuver分类
医药卫生引用本文复制引用
董志涛,罗昆仑,余锋,方征,刘洪,李界明..前入路绕肝提拉法半肝切除在肝硬化患者中的应用[J].中国普通外科杂志,2013,22(1):10-13,4.
