不同肝血流阻断方式在腹腔镜肝切除术中的应用评价

Evaluation of different methods of hepatic vascular occlusion in laparoscopic hepatectomy

肝实质离断和出血控制技术是腹腔镜肝切除术中的核心环节。目前腹腔镜下使用的肝血流阻断技术包括全入肝血流阻断、区域性血流阻断、肝静脉阻断、肝下下腔静脉阻断等诸多方法。术者要结合自身的腹腔镜技术水平、肝切除的范围和位置、合并肝硬化的程度选择合适的肝血流阻断技术,以减少术中大出血的发生,提高腹腔镜肝切除的成功率,减少腹腔镜下断肝过程出血及术后并发症的发生,也可促进腹腔镜肝切除术的进一步发展及推广。

Laparoscopic liver resection and bleeding control techniques arc the central link in laparoscopic bepatectomy. At present, there are so many laparoscopic hepatic vascular occlusion, such as total inflow occlusion, regional hepatic vascular occlusion, hepatic vein occlusion and the inferior vena cava occlusion, etc. Surgeon should combine their own llaparoscopie technique level, the range and position of the liver resection, the degree of liver cirrhosis to select the appropriate liver blood flow blocking technology to reduce the incidence of intraoperative bleeding, improve the success rate of laparoscopic hepatectomy, and also promote the further development and promotion of laparoscopic hepatectomy.