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左侧卧位在腹腔镜肝右后叶切除术中的应用

沈冬勤 常宝

腹腔镜外科杂志2021,Vol.26Issue(6):405-407,414,4.
腹腔镜外科杂志2021,Vol.26Issue(6):405-407,414,4.DOI:10.13499/j.cnki.fqjwkzz.2021.06.405

左侧卧位在腹腔镜肝右后叶切除术中的应用

Application of left decubitus position in laparoscopic hepatic right posterior lobectomy

沈冬勤 1常宝1

作者信息

  • 1. 华中科技大学同济医学院附属同济医院手术室,湖北 武汉,430030
  • 折叠

摘要

Abstract

Objective: To investigate the clinical effect of left decubitus position in laparoscopic hepatic right posterior lobectomy. Methods: From Jan.2020 to Deo.2020, 59 patients with hepatic right posterior lobe tumor were randomly divided into two groups. All the operations were performed by laparoscopy. 36 cases were operated in left lateral position, 23 cases were operated in herringbone position. The operative time, amount of blood loss, intraoperative time of hepatic portal occlusion and frequency of intraoperative operating table adjustment were compared between the two groups. Results: The operative time, blood loss ,time of hepatic portal occlusion and frequency of intraoperative operating table adjustment in left lateral position group were better than those in herringbone position group, the differences were statistically significant (P< 0.05). Conclusions: The left lateral position in laparoscopic hepatic right posterior lobectomy can obtain better operative field exposure and convenient operation, so as to reduce the operation time, intraoperative blood loss, hepatic portal occlusion time and frequency of intraoperative operating table adjustment. This procedure is of clinical practical value.

关键词

肝肿瘤/肝切除术/腹腔镜检查/左侧卧位

Key words

Liver neoplasms/Hepatectomy/Laparoscopy/Left lateral position

分类

医药卫生

引用本文复制引用

沈冬勤,常宝..左侧卧位在腹腔镜肝右后叶切除术中的应用[J].腹腔镜外科杂志,2021,26(6):405-407,414,4.

腹腔镜外科杂志

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