Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy

JIANG Zhe-long; WEI Zhi-hong; ZHANG Kun; JIANG Yi; LV Li-zhi

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Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy

更新时间：2023-05-22

- Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy
- null Issue 1, (2019)
- 作者机构：
  
  福建医科大学福总临床医学院肝胆外科,福建,福州,350025
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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JIANG Zhe-long, WEI Zhi-hong, ZHANG Kun, et al. Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy. [J]. null (1).(2019)
DOI：

JIANG Zhe-long, WEI Zhi-hong, ZHANG Kun, et al. Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy. [J]. null (1).(2019) DOI：

摘要

目的探讨交替阻断半肝入肝血流在解剖性肝中叶切除术中的应用和优势。方法回顾性分析2014年1月至2017年12月于福州总医院肝胆外科行肝中叶切除术的57例肝癌患者的临床资料。按照手术方式不同分为观察组和对照组，观察组34例患者应用交替阻断半肝入肝血流技术行解剖性肝中叶切除术，对照组23例患者行非解剖性肝中叶切除术，比较2组患者的临床效果。结果观察组在手术时间、术中出血量、住院时间、住院费用、术后第1、3、5天白蛋白(ALB)、术后第1、3、5、7天谷丙转氨酶(ALT)和谷草转氨酶（AST）等指标上明显优于对照组，差异具有统计学意义（P<0.05），2组患者均无围手术期死亡病例。结论在解剖性肝中叶切除术中应用交替阻断半肝入肝血流技术可以获得良好的近期疗效，且安全性高。

Abstract

Objective To investigate the application and advantages of alternative vascular hemihepatic occlusion in anatomic mesohepatectomy.Methods The clinical data of 57 patients with liver cancer who underwent operation in hepatobiliary surgery of Fuzhou general hospital from January 2014 to December 2017 were retrospectively analyzed.According to the surgery method

the patients were divided into observation group and control group

34 cases in observation group were performed anatomic mesohepatectomy with alternative hemihepatic occlusion

23 cases in control group were treated with nonanatomical liver lobectomy.The clinical effect of two groups were compared.ResultsThe observation group was significantly better than the control group in terms of operation time

intraoperative blood loss

length of hospital stay

hospitalization costs

ALB at 1

5 days after surgery

ALT and AST at 1

7 days after surgery

the differences were significant(P<0.05).There was no perioperative deaths in the two groups.Conclusion Applied alternative hemihepatic vascular occlusion in anatomic mesohepatectomy can achieve good short-term curative effect and high safety.

关键词

解剖性肝中叶切除交替阻断半肝入肝血流肝癌血流阻断技术

Keywords

anatomical mesohepatectomyalternative hemihepatic occlusionhemihepatic blood inflowliver cancerblood flow block

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