多功能手术解剖器在肝切除术中的应用

APPLICATION OF PENG'S MULTIFUNCTION OPERATIVE DISSECTOR IN HEPATECTOMY

目的:探讨多功能手术解剖器在肝切除术中的价值。方法:分析5 a来采用多功能手术解剖器施行肝切除术手术时间、术中出血量及术后并发症的发生率,并与采用其他手术器械施行肝切除术组资料进行比较。结果:采用多功能手术解剖器施行肝切除术组手术时间、术中出血量明显少于其他器械施行肝切除术组,差异具有统计学意义(P<0.05);术后出血、漏及感染的发生率低于对照组(P<0.05);两组肝功能衰竭的发生率未做统计。结论:多功能手术解剖器的应用有利于肝切除术的深入开展;且由于其价廉易得、操作简便,适合向基层医院推广。

Objective：To investigate the value of Peng＇ s muhifunction operative dissector（PMOD） in hepatectomy. Methods. From September 2001 to January 2006,41 patients underwent hepatectomy by means of PMOD. Operating time, the amount of blood loss at surgery and complication after surgery were analyzed, comparing with hepatectomy depend on other surgical operating apparatus. Results. The operating time and amount of blood loss at surgery in hepatectomy by means of PMOD were shorter than that in control group, which has significant differences（ P 〈 0. 05 ）. The incidence rate of blood loss after surgery, the incidence rate of bile leakage and the incidence rate of infection in group with PMOD were lower than that in control group （P 〈 0. 05）. No comparison was made in hepatic failure. Conclusion. PMOD is a simple, practical surgical instruments, which can impulse the development of hepatectomy.