基于Laennec膜指引多次肝脏手术后肝周粘连分离

Laennec capsule based the separation of perihepatic adhesions after hepatic surgeries during laparoscopic hepatectomy

目的:证实基于Laennec膜指引多次肝脏手术后行肝周粘连分离的优势。方法:选取典型多次肝脏手术患者,经Laennec入路行肝周粘连分离,展示膈下,肝下及裸区的粘连分离。结果:多次肝脏术后患者肝周粘连经寻Laennec膜行粘连分离,层次清晰,出血少,副损伤小。结论:基于Laennec膜指引多次肝脏手术后肝周粘连分离安全可行,可作为多次肝脏手术后肝周粘连分离的手术入路。

Objective To proove the advantage of Laennec membrane-based guidance in the separation of perihepatic adhesions after multiple liver operation.Methods The adhesions were isolated from the subphrenic,subhepatic and naked areas through Laennec approach in patients with multiple liver surgery.Results The adhesions were separated by Laennec membrane after several liver operations.The layers of adhesions were clear,the bleeding was less and the side injury was less.Conclusions Laennec membrane is a safe and feasible approach for the separation of perihepatic adhesions after multiple liver operations.