选择性入出肝血流阻断在肝切除术中的临床应用

Selective blocking blood flow in liver resection surgery

目的探讨选择性入出肝血流阻断在肝叶段切除术中的临床应用效果。方法回顾性分析14例采用选择性入出肝血流阻断方法行规则性肝叶、段切除的临床资料。结果 14例行规则性肝叶、段切除的治疗效果良好,术中出血及术后并发症均少。结论应用选择性入出肝血流阻断技术行肝叶、段切除能达到与经典的全肝血流阻断技术一样可避免大出血和空气栓塞外,且不易引起全身血流动力学紊乱,减少术后肝功能衰竭的发生。

Objective To investigate the selectivity of the liver blood flow into and out of hepatic blood flow occlusion in liver resection surgery.Methods The clinical data of 14 cases with selectivity of the liver blood flow into and out of hepatic blood flow occlusion in liver resection surgery.Results The therapeutic effect was fine without bleeding and complications.Conclusion Selective blood inflow and outflow of the liver hepatic blood flow occlusion can achieve total hepatic blood flow with classical techniques,avoid massive bleeding and air embolism,but also easy to cause systemic blood flow mechanical disturbance,decrease the incidence of liver failure.