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基层医院肝切除术止血方法探讨

彭永海 漆家高 陈思瑞 胡朝辉 罗华

医学信息Issue(41):130-130,1.
医学信息Issue(41):130-130,1.

基层医院肝切除术止血方法探讨

Discussion on the Method of Hemostasis in Liver Resection in Primary Hospitals

彭永海 1漆家高 1陈思瑞 1胡朝辉 1罗华1

作者信息

  • 1. 四川省绵阳市中心医院 四川 绵阳 621000
  • 折叠

摘要

Abstract

Objective To explore the clinical significance and safey of hepatic vascular occlusion to hepatectomy in primary hospitol.Methods Retrospective analysis the clinic data of 262 cases of open hepatectomy from may 2012 to may 2015.Results Al cases of liver resection including left lateral lobe 102 cases,left liver 39 cases,Right hepatic 34 cases,liver segment 51 cases,Local resection 42 cases.Pringle maneuver was used in 45 cases,selective hepatic Vascular Occlusion in 52 cases,47 patients using liver hanging maneuver combining with selective liver inflow and outflow vascul exclusions,6 cases Bundled blocking blood flow without liver inflow vascul exclusions.Using ultrasonic knife liver section hemostatic treatment of 85 cases,Cavitron Ultrasonic Surgical Aspirator(CUSA) 15 cases,Hectogram pliers 40 cases,radiofrequency coagulation device 21 cases.Conclusion In primary hospitals,it's safe and feasible to car y out liver resection surgery,intraoperative according to condition,adjust measures to local conditions,to grasp the method of liver resection hemostasis.

关键词

肝切除术/止血方法/肝血流阻断

Key words

Liver resection/Hepatic vascular occlusion/Hemostasis

引用本文复制引用

彭永海,漆家高,陈思瑞,胡朝辉,罗华..基层医院肝切除术止血方法探讨[J].医学信息,2015,(41):130-130,1.

医学信息

1006-1959

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