摘要
目的:探讨Belghiti悬挂法在解剖性半肝切除术中的应用价值.方法:Belghiti肝脏悬挂法成功行半肝切除术患者28例,并与未采用Belghiti肝脏悬挂法完成的解剖性半肝切除术患者22例比较,分析评价患者术中相关指标和术后并发症.结果:2组患者均无手术死亡,Belghiti悬挂组的术中失血量和输血量均较对照组显著减少(426.36±312.79mL vs 526.58±251.32mL;508.13±128.26mL vs 735.13±216.79mL,均P<0.05).2组的术后肝功能、并发症发生率、住院时间无显著差异.结论:Belghiti悬挂法可进一步提高半肝切除的安全性,减少出血,并且可在先不游离肝脏的情况下完成半肝切除,更符合肿瘤外科的基本原则.
AIM： To explore the feasibility of the use of Belghiti＇s liver hanging maneuver in anatomic semi-hepatectomy. METHODS： Clinical data of 28 patients undergoing semi-hepatectomy by Belghiti＇s liver hanging maneuver between March 2005 and December 2008 in our department were compared with those without liver hanging maneuver. The amount of intraoperative bleeding and blood transfusion, liver function recovering and postoperative complications were compared between the two groups. RESULTS： No operative death was found in this study, and the amounts of intraoperative bleeding and transfusion were decreased significantly in the liver hanging maneuver group （426.36 ± 312.79 mL vs 526.58 ± 251.32 mL; 508.13± 128.26 mL vs 735.13± 216.79 mL, both P 〈 0.05）. There was no significant difference in the liver function test, postoperative complications and length pf hospital-stay between the two groups. CONCLUSION： Liver hanging maneuver is feasible in terms of anatomy and technique. With liver hanging maneuver, semi-hepatectomy may be safer and the intraoperative blood loss is reduced. It also makes the anterior approach for semi-hepatectomy safer and easier.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第16期1680-1683,共4页
World Chinese Journal of Digestology
关键词
Belghiti悬挂法
半肝切除
肝后隧道
下腔静脉
Belghiti liver hanging maneuver
Semi-hepatectomy
Retrohepatic tunnel
Inferior venacava
