肝切除术中肝脏血流阻断技术的研究进展

Advances in Techniques of Hepatic Blood Occlusion in Hepatectomy

目的复习肝切除术中肝脏血流阻断技术的研究进展。方法对相关文献进行分析与综述。结果肝脏血流阻断方法多,最常用的和研究最多的是半肝(或选择性)血流阻断法和间歇性入肝血流阻断法,有损伤肝静脉和(或)腔静脉风险时启用肝血流隔离法,极少采用全肝血流阻断法和其他方法。结论根据病情,巧妙选用肝血流阻断技术,可减少肝切除术中出血和保证患者安全。

Objective To review the advances in techniques of hepatic blood occlusion in hepatectomy. Methods The related literatures were reviewed and analysed. Results There were many techniques of hepatic blood occlusion. The most frequently used and studied techniques were hemihepatic vascular occlusion and intermittent he- patic inflow occlusion. Hepatic vascular exclusion was employed when hepatic veins and/or vena cava would be damaged. Total vascular exclusion and other techniques were rarely used. Conclusion To reduce blood loss in hepatectomy and make patient safe, based on the situation of the patient, the technique should be ingeniously selected.