31例规则性肝切除术外科解剖和电刀应用

Surgical Hepatic anatomy and Electrotome Application in 31 Cases of Typical Hepatectomy

目的:探讨规则性肝切除的具体手术方法。方法:对31例规则性肝切除患者的手术方法进行回顾性分析。结果:31例规则性肝切除的第一、二、三肝门部的电刀解剖均获得成功,所有患者均经手术治疗和围手术期处理而得以痊愈出院。结论:电刀解剖法具有省时、安全、出血少、解剖清晰、手术成功率高等优点,对于肝脏胆管疾病的外科临床具有良好的应用前景。

Objective: To explore the concrete operation methods in typical hepatectomy. Method: 31 cases of patients treated with typical hepatectomy were analyzed by retrospective analysis. Results: 31 cases typical hepatectomy patients' first, second, and third hepatic portal anatomy were successfully achieved with electrotomy, and all patients were healed by corresponding operation and peri-operative managements. Conclusions: The methods of electrotomy anatomy have the advantages of saving time, safety , less bleeding, clearly anatomy and high operation success rate, and have good clinical application prospect in hepatobiliary operation.