JIANG Zhe-long, WEI Zhi-hong, ZHANG Kun, et al. Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy[J]. null, 2019,(1).
JIANG Zhe-long, WEI Zhi-hong, ZHANG Kun, et al. Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy[J]. null, 2019,(1).DOI:
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 nonanatomical liver lobectomy.The clinical effect of two groups were compared.ResultsThe 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
3
5 days after surgery
ALT and AST at 1
3
5
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.