射频止血切割器在肝脏肿瘤切除术中的应用

Application of bipolar radiofrequency device on hepatic tumor resection

目的探讨射频止血切割器在肝脏良、恶性肿瘤切除术中的应用价值和安全性。方法回顾性分析2012年2月至2014年2月在我科采用射频止血切割器行肝良、恶性肿瘤切除患者20例的临床资料。其中男8例,女12例;平均年龄（51±11）岁;原发性肝癌14例,继发性肝癌4例,肝血管瘤2例。观察肝切除时间、术中出血量、输血情况、术后住院时间及围手术期并发症情况。出院后患者接受随访,观察肿瘤复发情况。结果 20例肝癌患者均顺利完成手术。手术中位时间126 min（64~188 min）、术中出血量（210±85）m L,输血率0,术后住院时间（12±3）d。发生腹腔局限性积液1例,右侧中量胸腔积液3例,经积极保守治疗后痊愈。结论采用射频止血切割器行肝脏良、恶性肿瘤的切除是安全、有效的方法,值得临床选择性应用。

Objective To investigate the application value and safety of bipolar radiofrequency device in hepatic neoplasms resection.Methods Clinical data of 20 patients with hepatic neoplasms underwent hepatectomy with the use of bipolar radiofrequency device in our hospital from Feb.2012 to Feb.2014 were retrospectively analyzed.There were 8 males and 12 females with a mean age of（51±11） years old.Fourteen cases were with primary liver cancer and 4 cases were with secondary liver cancer and 2 cases were hemangioma.The operation duration,intraoperative bleeding,blood transfusion,length of postoperative hospital stay and complications were observed.Patients were followed up after being discharged from hospital and tumor recurrence were observed.Results All the 20 patients underwent hepatectomy successfully.The median of operation duration was [126（64~188）] min,The mean intraoperative bleeding was（210 ± 85） m L,the rate of blood transfusion was 0%,the length of postoperative hospital stay was（12 ± 3） d.One case of Intraabdominal encapsulated effusion,3 cases of moderate right pleural effusion,gradually recovered by actively absorbed after symptomatic treatment.Conclusion Bipolar radiofrequency device is safe and effective for hepatic resection,which is worthy of clinical selective application.