几种肝切开(断)术的比较

LIVER TRANSECTION BY CURETTAGE AND ASPIRATION──A NEW TECHNIQUE FOR HEPATECTOMY

本文描述一种简易、安全的断肝法─—刮吸法，同时介绍一种高效率的器械─—彭氏多功能手术解剖器（ＰＭＯＤ）。文中还对刮吸法切肝和钳折法切肝二组病人进行了比较，每组各４６人。结果：平均出血量刮吸法为钳折法的一半（Ｐ＜０．０１），平均断肝时间也是刮吸法短于钳折法，约缩短４０％（Ｐ＜０．０１）。讨论了指折法、钳折法、微波刀、激光刀、水射和超声解剖器（ＣＵＳＡ）等方法的器械的优缺点。认为刮吸法的优点超过其它各种方法；ＰＭＯＤ较之ＣＵＳＡ经济、实用、安全和高效。

An easy and safe technique, liver transection by curettage and aspiration (LTCA), using an efficient instrument, Peng's multifunction operative dissector (PMOD) is described in this article. A comparison between two groups of patients undergoing hepatectomy were made. One group were operat ed on with LTCA; the other group with forceps crush method (FCM). Results: the amount of blood loss with LTCA was only half of that with FCM. The time needed for liver transection with LTCA was 40 percent shorter than that with FCM. After comparision of a variety of currently available techniques and surgical instruments, it is concluded that LTCA is superior to all other techniques, while PMOD is superior to CUSA.