中国临床医学2017，Vol.24Issue(1)：1-5,5.DOI:10.12025/j.issn.1008-6358.2017.20161167
自制新型腹腔镜肝门阻断设备在腹腔镜肝细胞肝癌手术中的应用
Clinical application effect evaluation of a novel approach of laparoscopic hepatic inflow occlusion device
摘要
Abstract
Objective:To examine the clinical application effect evaluation of a novel approach of laparoscopic hepatic inflow occlusion device.Methods:A self-designed device of hepatic inflow occlusion was made using tracheal catheter (7 .5 mm) and infusion set.From March 2015 to November 2016,20 HCC patients with cirrhosis were enrolled and divided into two groups according to tumor size and extent of resection:occlusion group (n= 10)received laparoscopic liver resection using the hepatic inflow occlusion,while non-occlusion group (n= 10)without.The efficacy of the occlusion apparatus was examined using laparoscopic ultrasound device.The operation time,intraoperative blood loss,intraoperative transfusion,and the postoperative complications were compared.Results:The novel approach can effectively occluded the hepatic inflow.The average operation time were (102.0±32.5)min in occlusion group and (136.5±45.8)min in non-occlusion group (P=0.005),respectively.Mean intraoperative blood loss was (80.0 ±69.4)mL in occlusion group and (170.0±163.4)mL in non-occlusion group (P= 0.011 ).One patient in non-occlusion group received transfusion (RBC,2 U).No postoperative complication was occurred in two groups.Conclusions:The novel approach of hepatic inflow occlusion is effective,safe,simple and easy for laparoscopic liver resection.It can significantly reduce length of operation and intraoperative blood loss.It can facilitate laparoscopic liver resection and is worthy of wide application.关键词
腹腔镜/肝细胞肝癌/肝门阻断Key words
laparoscopic/hepatocelluar carcinoma/hepatic inflow occlusion分类
医药卫生引用本文复制引用
彭远飞,陈霏雨,王征,周恺乾,王晓颖,史颖弘,周俭,樊嘉..自制新型腹腔镜肝门阻断设备在腹腔镜肝细胞肝癌手术中的应用[J].中国临床医学,2017,24(1):1-5,5.基金项目
国家自然科学基金(81572296),复旦大学附属中山医院科技创新基金.Supported by National Natural Science Foundation of China (81572296)and Zhongshan Science&Technology Innovation Fund (2015). （81572296）
