利用氩气凝血器行不阻断肝门的肝叶切除术的临床研究

The clinical study on hepatectomy using the Argon Beam coagulator Without porta Hepatis Occlusion

自1990年10月～1992年7月共行肝叶切除术41例,其中21例用氩气凝血器(ABC,the argonbeam coagulator)止血,切肝时不阻断肝门。对照组20例行常规的肝切除方法(切肝时阻断肝门)。研究结果表明:利用ABC行肝叶切除术可以不阻断入肝血流,且具有减少术中出血量,术后并发症少,残肝断面可不缝合,不附加任何覆盖物等优点。

The Argon Beam Coagulator (ABC)has been applied clinically with satisfactory results. From October 1990,to July 1992,this procedure was used in 21 patients having major hepatic resections for a variety of conditions without porta heparis occlusion, and 20 patients were performed on same condition without using ABC,but undergone inflow occlusion as a control group. In both groups,the average amounts of blood loss were 707ml and 1005ml, respectively,This study demonstrated that using ABC could effectively reduce bleeding from the transected hepatic parenchyma. In addition,using ABC need not embed the remaining raw surface with mattress suture or any other tissues cover it. this method may simplify the operation for lobectomy.