中国普通外科杂志2016，Vol.25Issue(9)：1336-1340,5.DOI:10.3978/j.issn.1005-6947.2016.09.019
腹腔镜肝左外叶切除三种血流阻断方法的比较
Comparison of three different methods for hepatic inflow occlusion in laparoscopic left lateral hepatic lobectomy
摘要
Abstract
Objective: To compare the clinical effects of three different methods for hepatic inlfow occlusion in laparoscopic letf lateral hepatic lobectomy. <br> Methods: The clinical data of 45 patients undergoing laparoscopic left lateral hepatic lobectomy for primary hepatocellular carcinoma during 2008 to 2015 were retrospectively analyzed. hTe intraoperative hepatic inlfow control of the patients was performed by Pringle's maneuver (total hepatic occlusion group, 18 cases), hemihepatic vascular occlusion (hemihepatic occlusion group, 17 cases), and stepped occlusion of seven-step liver transection method (seven-step liver transection group, 10 cases). The major clinical variables among the three groups of patients were compared. <br> Results: The intraoperative blood loss showed no statistical difference among the three groups (P>0.05), but the operative duration, postoperative liver function recovery, gastrointestinal functional recovery, incidence of postoperative complications and length of hospital stay in seven-step liver transection group were all signiifcantly superior to those in total hepatic occlusion group and hemihepatic occlusion group (allP<0.05). <br> Conclusion: Using seven-step method in laparoscopic letf lateral hepatic lobectomy is safe, simple and feasible, with no special laparoscopic skill requirements for performers, so it is recommended to be used in hospitals of different levels.关键词
肝肿瘤/外科学/肝切除术/方法/腹腔镜Key words
Liver Neoplasms/surg/Hepatectomy/methods/Laparoscopes/Hemihepatic vascular control/The seven-step method of hepatectomy分类
医药卫生引用本文复制引用
夏志超,曾仲,夏仁品,杨世昆,黄汉飞,徐王刚,林杰,段键..腹腔镜肝左外叶切除三种血流阻断方法的比较[J].中国普通外科杂志,2016,25(9):1336-1340,5.基金项目
国家自然科学基金资助项目（81360079）；云南省卫生科技计划资助项目（2014NS155）；云南省应用基础研究计划资助项目（2013FB142）。 （）
