常温下阻断肝区域性血流行肝切除术35例报告

NORMOTHERMIC REGIONAL HEPATIC VASCULAR OCCLUSION FOR HEPATECTOMY(REPORT OF 35 CASES)

目的:探讨减轻肝切除术后肝功能损害的方法。方法:回顾性总结我院采用常温下肝区域性血流阻断(RHVO)行肝切除术35例经验,并与在同期采用常温下全肝入肝血流阻断(THIO)行肝切除术18例作对比研究。结果:RHVO阻断时间明显长于THIO阻断时间(P<0.01),两组术中失血量无差异(P>0.05)。术后3d肝功能SGPT改变RHVO组明显轻于THIO组(P<0.01)。RHVO组的并发症发生率低于THIO组(0.05>P>0.01)。结论:常温下RHVO行肝切除术是一种可行的方法。

Objective:To investigate the method to alleviate liver function damage after hepatectomy Method:35 patients on whom hepatectomy were performed with normothermic regional hepatic vascular occlusion (RHVO) were retrospectively reviewed And a contrast study was done with 18 patients on whom hepatectomy were performed in the same period with normothermic total hepatic inflow occlusion (THIO)Result:The occlusion time of RHVO was markedly longer than that of THIO (P<0 01) But the volumn of blood loss showed no difference between the two groups (P>0 05) To the SGPT change in liver function test 3 days after operation,RHVO group was remarkably lighter than that of the THIO group (P<0 01) RHVO group had lower complication rate than that of the THIO group (0 05>P>0 01) Conclusion:Normothermic RHVO for hepatectomy is a practicable method,which is significant to the prevention of post operational liver function failure