摘要
目的:总结自制肝门阻断带在腹腔镜肝脏手术中行肝门阻断的临床效果。方法:将60例肝切除术患者随机分为两组,A组(n=30)于腹腔镜下使用自制肝门阻断带阻断肝门后行肝部分切除术,B组(n=30)开腹肝门阻断后行肝切除术。对比两组术中出血量、手术时间、术后住院时间等。结果:两组手术均获成功,术后患者均康复出院。两组患者术中出血量、手术时间及肝门阻断时间差异无统计学意义(P>0.05);术后住院时间差异有统计学意义(P<0.05)。结论:腹腔镜肝切除术应根据病变位置、肿瘤大小、手术类型、肝硬化程度等因素综合考虑,术中应用自制肝门阻断带阻断入肝血流简单、实用、安全、有效,值得推广。
Objective : To observe the result of the self-made band for portal triad clamping in laparoscopic hepatectomy. Meth- ods:Sixty patients who suffered from hepatoma and underwent hepatectomy were divided into two gronps:group A (n = 30) underwent laparoscopic hepatectomy with portal triad clamping by the band mentioned above ; group B ( n = 30) underwent open hepatectomy with conventional portal triad clamping. The following parameters were compared within the 2 groups:intra-operative blood loss (IOBL), op- erative duration ( OD), the time of hepatic portal triad clamping ( THC), and post-operative hospital stay (POHS). Results : All opera- tions were successful. All patients recovered from the operations without any complications. There was no difference between the 2 groups in IOBL, OD or THC ( P 〉 0.05 ). However, the POHS was shorter in group A ( P 〈 0.05 ). Conclusions : Laparoscopic hepatec- tomy should be chosen according to comprehensive factors,such as lesions location, size of tumor,operation style,the degree of hepatic: cirrhosis and so on. It is suggested that our self-made band for portal triad clamping is a simple, practical, safe and effective device in laparoscopic hepatectomy. This procedure should be generalized.
出处
《腹腔镜外科杂志》
2013年第8期604-606,共3页
Journal of Laparoscopic Surgery
基金
广西科技厅科技攻关项目(编号:桂科攻1298003-2-1)
广西高等学校重点资助科研项目(编号:201102ZD024)
吴阶平医学基金会肝病医学部肝功能评价方法研究基金(编号:LDWMF-PJ-2011B005)
关键词
肝切除术
肝门阻断带
腹腔镜检查
Hepatectomy
Portal triad clamping band
Laparoscopy