阻断与不阻断入肝血流切除肝癌

Hepatectomy with or without Employment of Pringle Maneuver

目的探讨不阻断入肝血流肝切术手术的安全性及技巧,以及对残肝功能的影响和术后并发症的影响。方法利用病例对照研究,比较阻断与不阻断入肝血流切除肝癌,观察术后并发症发生率、术中输血量等指标。结果甲组(阻断入肝血流)n=59,乙组(不阻断入肝血流)n=42。甲组和乙组术中估计失血量分别为892ml±843ml、914ml±894ml。甲组和乙组术后ALT恢复正常时间分别为17±6天,12±4天,P<0.05。甲组和乙组术后Tbil恢复正常时间分别为18±7天,13±5天,P<0.05。甲组和乙组术后并发症发生率分别为41.3%与12.5%,P<0.05。结论本组资料显示应用不阻断入肝血流切肝可行、安全。

Objective: ?To investigate the method of hepatectomy without employment of pringle maneuver, and evaluate the safety. the liver function after operation and postoperative complications of it. Methods: ?The clinical design:the casecontrol study.The incidence of postoperative complication and blood transfusion during operation were observered in hepatoma patients received hepatectomy with or without employment of Pringle maneuver. Results: ?The volume of blood loss and blood transfusion and the incidence of postoperative complication in group with Pringle maneuve(n=59) and group without Pringle maneuver(n=42) were 892±843ml,914±894ml(P>0.05) and 41.3%,12.5%(P<0.05),respectively. Conclusion: ?Our clinic data shows that hepatectomy without ernployment of Pringle maneuver is a safe and feasible treatment for patients with hepatoma. [