不阻断入肝血流行肝癌切除术的应用观察

Study on the influence of the postoperative hepatic function in hemihepatectomy for hepatoma

目的探讨不阻断入肝血流行肝癌切除术的临床价值及安全性。方法62例患者分为两组：肝门阻断组28例，肝切除时阻断入肝血流；无阻断组34例，肝切除时不阻断入肝血流。比较两种方法对术中失血量、术后肝功能及并发症发生率等指标的影响。结果两组患者均顺利完成手术，两组失血量比较差异无统计学意义（P〉0．05），两组肝功能指标、并发症发生率比较差异有统计学意义（P〈0．05）。结论肝癌切除术中不阻断入肝血流能减少术后并发症，有利于术后肝功能的恢复。

Objective To explore the clinical significance and safety in hemihepatectomy for hepatoma without inflow occlusion. Methods A total of 62 patients with liver cancer were divided into 2 groups. The inflow was occluded in group A （ n = 28 ） and not occluded in group B （ n = 34） during hepatectomy. Subsequently, the influence of the two approaches on the parameters including intraoperative blood loss, postoperative hepatic function and complications incidence rate was comparatively analyzed. Results Hepatectomy was successfully performed in the two groups. There was no significant difference between the two groups in intraoperative blood loss （ P 〉 0. 05 ）. Significant difference existed between the two groups in postoperative hepatic function and complications incidence rate （P 〈 0. 05）. Conclusions The hemihepatecto- my for hepatoma without inflow occlusion can reduce complications incidence rate and profit the recovery of postoperative hepatic function parameters.