摘要
目的总结水媒射频切割闭合器在肝切除中的应用.方法总结了12例应用水媒射频切割闭合器行肝切除的病人的资料,对其断肝的结果进行了分析.结果 12例病人分别行不同类型的肝切除,术中断肝时间为30～130 min,平均76 mm;出血量为20～300 ml,平均85 ml;术中术后均未输血.术后患者均无胆漏、腹腔内残余感染等并发症发生.有3例患者有术后一过性转氨酶升高,最高达550 IU/L.切开手术标本检查见切缘凝固变性组织深度3～5 mm.切缘肝组织经病理学检查发现从表面往内呈坏死区、变性坏死过渡区、充血水肿区和相对正常的移行改变.管道周围肝组织变性坏死程度较其它邻近区域明显,沿管道区呈放射状分布.结论应用水媒射频切割闭合器行肝切除是一种较满意的方法.
Objective To assess the application of saline-linked radiofrequency dissecting sealer in liver resection. Methods The data of 12 cases were summarized and analyzed. Results 12 hepatec- tomy were performed using saline-linked radiofrequency dissecting sealer. The total operation time ranged from 30 to 130 min, and averaged 76 min. Total blood loss was 20-300 ml, and averaged 85 ml. There was no blood transfusion for all patients perioperatively, and no bile leakage and residual abdominal infection were found postoperatively. The transient rise of ALT occurred in 3 cases, and the highest level was 550 IU/L. Pathological examination for the tissue of resection margin showed a depth of 3-5 mm, which displayed necrosis, degeneration and necrosis, congestion and edema, and normal tissue from the outer to the inner part. The degereration and necrosis of liver tissue around the vessels had more severe than others. Conclusions It is satisfactory to perform liver resection using sa line-linked radiofrequency dissecting sealer liver.
出处
《消化外科》
CSCD
2005年第5期333-335,共3页
Journal of Digestive Surgery
关键词
肝切除
水媒射频切割闭合器
肝损伤
liver resection saline-linked radiofrequency dissecting sealer liver injury
