中国实用外科杂志2025，Vol.45Issue(3)：334-339,6.DOI:10.19538/j.cjps.issn1005-2208.2025.03.18
可单手操作肝蒂阻断钳在腹腔镜肝切除术中应用研究
Study on the application of a single-hand-operable hepatic pedicle clamp in laparoscopic hepatectomy
摘要
Abstract
Objective To evaluate the clinical utility of a single-hand-operable hepatic pedicle clamp in laparoscopic hepatectomy and analyze its impact on surgical workflow optimization and postoperative outcomes.Methods A retrospective analysis was conducted on the clinical data of 43 patients who underwent laparoscopic liver tumor resection at the First Affiliated Hospital of Wannan Medical College between March 2019 and February 2023.The hepatic pedicle clamp,self-developed for single-hand operation,was used for intermittent occlusion of the first hepatic portal during surgery.Key recorded metrics included occlusion time,operative time,intraoperative blood loss,postoperative hospital stay,and complication rates.Results All procedures were successfully completed without conversion to open surgery.The hepatic pedicle clamp enabled effective intermittent occlusion of blood flow to the first hepatic portal(15 minutes of occlusion followed by 5 minutes of release),with a median occlusion frequency of 4 times and a median occlusion time of 60 minutes.The mean operative time was(318.1±113.6)minutes,the mean intraoperative blood loss was(535.1±395.5)mL,and the mean postoperative hospital stay was(8.2±4.1)days.The postoperative complication rate was 11.6％,all classified as Clavien-Dindo grade Ⅰ or Ⅱ.No grade Ⅲ a or higher complications or mortality were observed.Additionally,no postoperative portal vein thrombosis or hepatic artery aneurysm occurred in any patient.Conclusion The single-hand-operable hepatic pedicle clamp is simple to use,facilitates workflow optimization in laparoscopic hepatectomy,and reliably achieves hepatic portal blood flow occlusion.Its use significantly reduces intraoperative blood loss and postoperative complications.This device offers a safe,effective,and convenient tool for laparoscopic hepatectomy and holds significant potential for widespread clinical applications.关键词
肝蒂阻断钳/腹腔镜肝切除术/肝门血流阻断/术中失血量/术后并发症/手术时间/住院时间Key words
hepatic pedicle clamp/laparoscopic hepatectomy/portal blood flow occlusion/intraoperative blood loss/postoperative complications/operative time/hospital stay分类
临床医学引用本文复制引用
沈正超,储鸿鹏,蒋彬,王冠男,方小三,王杰,王小明..可单手操作肝蒂阻断钳在腹腔镜肝切除术中应用研究[J].中国实用外科杂志,2025,45(3):334-339,6.基金项目
国家自然科学基金青年科学基金项目(No.82302351) （No.82302351）
安徽省高校自然科学研究项目(No.2023AH040254) （No.2023AH040254）
安徽省临床医学研究转化专项项目(No.202427b10020049) National Natural Science Foundation of China(Young Scientists Fund,No.82302351) （No.202427b10020049）
Natural Science Research Project of Anhui Provincial Universities(No.2023AH040254) （No.2023AH040254）
Anhui Provincial Clinical Medicine Research Transformation Special Program(No.202427b10020049) （No.202427b10020049）
