半肝血流阻断联合绕肝提拉法在肝切除术中的应用

Application of hemihepatic vascular control and liver hanging maneuver in hepatectomy

目的:对肝切除的手术方法进行改进,预防术后肝功能不全的发生.方法:对46例半肝血流阻断联合绕肝提拉法的肝切除术中患者的手术方法和术后恢复情况进行回顾性分析.结果:肝切除患者血流阻断时间13～47min,术中出血量140～910mL,术后患者肝功能恢复快,全部病例均未出现肝功能不全,无手术死亡.结论:半肝血流阻断联合绕肝提拉法在肝切除术中有省时、安全、出血少、解剖清晰、手术成功率高等优点,该方法对于肝脏外科具有良好的应用前景.

AIM：To improve the operative skill of hepatectomy so as to prevent postoperative liver dysfunction. METHODS：Operative procedures and postoperative recovery of 46 hepatectomy patients treated with hemihepatic vascular control and liver hanging maneuver were studied by retrospective analysis. RESULTS：The hepatic vascular control time was 13-47 min in hepatectomy patients and the intraoperative blood loss was 140-910 mL. All the patients achieved quick liver function recovery after operation and no liver dysfunction or death occurred. CONCLUSION：The method of hemihepatic vascular control and liver hanging maneuver has the advantages of time saving,safe performance,less bleeding,good view of anatomic structures and high operation success rate. This method has a good prospect for clinical application in hepatic surgery.