摘要
目的探讨肝门部格利森蒂血流阻断在解剖性肝右叶肝癌切除术中的应用。方法回顾性分析38例肝右叶肝癌患者的临床资料,20例采用肝门部格利森蒂血流阻断(A组)进行解剖性肝切除;18例采用间歇性第一肝门阻断(B组)进行肝肿瘤局部切除;对2组术中出血、术后肝功能及胆瘘情况进行比较。结果 2组病例均无死亡病例,A组无出现腹水病例,无腹腔大出血及肝功能衰竭等严重并发症;B组出现腹水5例,胆漏1例;A组术中出血量、术后1、3、5、7 d的血清谷丙转氨酶(alanine transaminase,ALT)明显低于B组,2组比较差异具有统计学意义(P<0.05)。结论解剖性肝切除时采取肝门部格利森蒂血流阻断是减少术中出血、减少术中肝功能损害和术后肝功能迅速恢复的有效的血流阻断方法。
Objective To research the application of Glisson pedicle blood occlusion of porta hepatis in the anatomical liver resection.Methods The clinical data of 38 patients with live cancers were retrospectively analyzed.The Glisson pedicle blood occlusion of porta hepatis group（group A） included 20 patients of liver cancer received anatomical hepatectomy while the first porta hepatis interval blood occlusion method group（group B） included 18 patients of liver cancer who received resection of local area during the same period.The index that include hemorrhage during operation liver function abnormality biliary fistula during postoperative were compared between these two groups.Results In group B,5 patients ascites were found.In group A,there is not asctes、intraabdominal hemorrhage and failure of liver function etc.Blood loss during operation and serum alanine transaminase（ALT） in the postoperative 1th、3th、5th、7th days in group A were significantly lower than those in group B,There is statistical significance between the difference of the two groups（P0.05）.Conclusions The method of Glisson pedicle blood occlusion of porta hepatis for anatomical hepatectomy of HCC is one of the effective hepatic blood occlusion methods reducing perioperative blood loss 、reducing liver functions and quickly recovering liver functions during postoperative.
出处
《河南外科学杂志》
2011年第1期8-10,共3页
Henan Journal of Surgery
关键词
肝细胞肝癌
肝门部格利森蒂血流阻断
间歇性第一肝门阻断
解剖性肝切除术
Hepatocellular carcinoma
Iintermittent hepatic blood occlusion
Intemrittent total hepatic inflow occlusion
Anatomical liver resection.
