微波止血分离器在腹腔镜肝切除术中的应用

Application of microwave hemostatic device in laparoscopic hepatectomy

目的：评价微波止血分离器在腹腔镜肝切除术中的应用价值。方法：回顾性分析2009年7月—2013年6月使用He Setor微波止血分离器为28例患者行腹腔镜肝切除术的临床资料。结果：28例均顺利完成,无手术中转、手术死亡发生,手术时间平均（124±45）min,术中出血量平均（140±110）m L。全组患者无术后出血、胆瘘、肝功能衰竭等严重并发症。术后平均住院（6.9±2.7）d。28例患者随访6~53个月,6例肝癌患者术后5~16个月后出现肝内转移复发,切口均未见种植转移。结论：应用微波止血分离器行腹腔镜肝切除术止血可靠,术后无严重并发症,是一种安全可行的切肝方法。

Objective： To evaluate the application value of microwave hemostatic device in laparoscopic hepatectomy.Methods： The clinical data of 28 patients undergoing laparoscopic hepatectomy with microwave hemostatic device（He Setor） from July 2009 to June 2013 were retrospectively analyzed. Results： Laparoscopic hepatectomy was successfully completed in all the 28 patients and no conversion or surgical death occurred. The average operative time was（124±45） min and average intraoperative blood loss was（140±110） m L. No postoperative hemorrhage, bile leakage or liver function failure occurred in the entire group of patients. The mean length of postoperative hospital stay was（6.9±2.7） d. Follow-up was conducted for 6 to 53 months in the 28 patients, and intrahepatic recurrence occurred in 6 cases with hepatocellular carcinoma in postoperative 5–16 months, but no port site tumor implantation was observed.Conclusion： Laparoscopic hepatectomy with microwave hemostatic device can provide excellent hemostatic effect without severe postoperative complications, so it is a safe and feasible technique for liver resection.