中国实用外科杂志2025，Vol.45Issue(3)：329-333,5.DOI:10.19538/j.cjps.issn1005-2208.2025.03.17
"双主刀"模式在高难度腹腔镜肝切除术中的应用价值研究
Application of the two-surgeon technique in complex laparoscopic hepatectomy
摘要
Abstract
Objective To compare the perioperative efficacy of the two-surgeon technique(TST)and single-surgeon technique(SST)in treating hepatocellular carcinoma(HCC)through difficult laparoscopic hepatectomy.Methods Clinical data of HCC patients undergoing laparoscopic hepatectomy at the First Affiliated Hospital of the University of Science and Technology of China between January 2021 and September 2023 were retrospectively analyzed.Patients were divided into the TST(n=35)and SST(n=39)groups.Key perioperative outcomes,including operative time,intraoperative blood loss,transfusion rate,hilar occlusion time,and postoperative complication rates,were compared between the two groups.Results In high-difficult cases,the operative time was significantly shorter in the TST group compared to the SST group[(199.5±50.4)min vs.(254.4±82.9)min,P=0.001],and intraoperative blood loss was significantly reduced[100.0(100.0,200.0)mL vs.200.0(100.0,400.0)mL,P=0.001].The level of alanine aminotransferase was lower on the third day after the operation[101.80(32.80,834.60)U/L vs.159.10(21.10,1005.00)U/L,P=0.027].However,the hospitalization costs of the TST group were higher than those of the SST group(P=0.025).There were no significant differences in transfusion rate,hilar occlusion time,or postoperative complication rates between the two groups.Conclusion The TST demonstrates comparable safety in complex laparoscopic hepatectomy while offering advantages of shorter operative time and reduced intraoperative blood loss and promote the recovery of liver function.关键词
肝细胞癌/腹腔镜肝切除术/双主刀模式/围手术期疗效Key words
hepatocellular carcinoma/laparoscopic hepatectomy/two-surgeon technique/perioperative outcomes分类
临床医学引用本文复制引用
高淼,孟凡征,宋华传,张珅瑜,王永帅,刘连新,王继洲,宋瑞鹏.."双主刀"模式在高难度腹腔镜肝切除术中的应用价值研究[J].中国实用外科杂志,2025,45(3):329-333,5.基金项目
National Natural Science Foundation of China(No.82272700) 国家自然科学基金项目(No.82272700) （No.82272700）
